Oregon Department of Transportation <br /> ` J~ ~ ~ C PAGE N0. 1 <br /> 7 v L ILLING DATE <br /> 06/03/03 19:55 <br /> (COUNT 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 INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> i <br /> <br /> i <br /> GENCY T/C CURR. DDC. DDC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 X0000132900=84 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE soVBCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVFi3:4:72 Ofl.O 01 $440111 22. 8,43238 17608::-„CON <br /> AMOUNT DUE >::>?':>:>>:::>:>;i>::'::::.:.:$8.~._32.,.3 . <br /> 734-1158AC11-88) <br /> <br />