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Oregon Department of Transportation <br /> f ~1 VO i ~ E PAGE N0. 1 <br /> BILLING DATE <br /> 02/04/03 20:55 <br /> ACCOUNT N0. <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 1NFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> __J <br /> AGENCY T/C CUR_R. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 ~ 0000132900-84 9901 <br /> ~ ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> I <br /> RVF13472-OUO.:'Oi' 844010..; 22 18',819.68 i7b'08< ':CON;: <br /> ! <br /> ~ ~ z • <br /> v,~ ~ 8 <br /> I <br /> <br /> f <br /> <br /> ! <br /> AMOUNT DUE _ ~k8 <br /> 734-1150A(11-88) <br /> <br />