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Oregon Department of Transportation <br /> ~ ~ ~ PAGE N0. 1 <br /> BILLING DATE <br /> 10/01/02 20:59 <br /> REPORT NO. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> <br /> 4 355 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 /> 858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> EUGENE OR 97440 ~ (503)986-3879 <br /> AGENCY T/C CURR. DOC. _ DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF13470-000 Ol' .844010 22' 32,546'.10 17608 CON <br /> ~e~~ ~~~~~~~E~~~~' ~~:v::4~t:.~~ I~~~E~t~~a4`~ <br /> ~~SU Y A <br /> . <br /> AMOUNT DUE ~.~.,~~r~ ~ <br /> 734-1150A<11-86) <br /> <br />