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7 C^ I N V tJ i C, E PAGE N0. 1 <br /> ILLING DATE <br /> 08/03/04 21:47 <br /> CCDUNT ND. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> i 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE A6ENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE soURCE AMOUNT DUE AMDUN7 REMITTED REV REFERENCE <br /> RVF14825-000. O1- 844010 22 24,128.15 17483`- CON <br /> °5'g e ~ h r t gay <br /> 95~~ ~,.a;~ i'4~..,,Yd~ trt[:~ ~~3°vt.. c~, ~I v~. o¢d~a~5ak <br /> ~r'C, S§d ~@„~.,6#a ass ~,'S ~ ~d iswd <br /> ilea`E~'~E <br /> AMOUNT DUE $24;: 8,~5 <br /> <br /> 734-1358A(31-88) <br /> <br />