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Oregon Deparfinenf of Transportation <br /> N VO I C E PAGE N0. 1 <br /> 7 ~ ILLING DATE <br /> 05/04/04 20:34 <br /> CCOUNT NO. <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 /> <br /> J ~ 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> j EUGENE. OR 97440 ~ (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE _ VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUEAMOUNT REMITTED REFERENCE <br /> RVF14825-000 O1 844010 22 23,672.17 174$3 --CON <br /> RVF13472-000 O1:> 844010 22 170.14 17608 -'CON <br /> t, :n~ <br /> TAE ~ ~Qd~~'~ ~6~5 HDRAN <br /> YOUR STA3E TR~ASU Y A UNT <br /> AMOUNT DUE $Z3.,8 .`3i <br /> ~a4-usoAUl-say <br /> <br />