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Oregon De~?rtment of Transportation <br /> I~ VO I ~ E PAGE N0. 1 <br /> IILING ?ATE <br /> 04/06/04 20:53 <br /> (COUNT NO. <br /> j <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> i <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 I (503)986-3879 <br /> k <br /> I <br /> GENCY T/C CURR. OOC. OOC. DATE VENDOR NO./SUFFIX UNIT <br /> i <br /> 73 350 0000132900-84 9901 <br /> REVENUE ~BExcY CUSTOMER ~ CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE souRCE AMOUNT ?UE AMOUNT REMITTE? REV REFERENCE <br /> `RVF14825-ODO O1 844010 `22 i7, 269:73 1.7483 - CON' <br /> `RVF13472-000 01 844010 22 141:43 17608 -;GON <br /> t <br /> <br /> r <br /> i <br /> . FRS} YOB I'~t~R~ RCS <br /> AMOUNT DUE ; <br /> 734-1158A(11-88) <br /> <br />