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Oregon Department of Transportation <br /> N VO I C E PAGE N0. ~ 1 <br /> 7 ~ ILLING DATE <br /> 02/03/04 19:50 <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 /> j 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 /> GENCV T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 00001.32900-84 9901 <br /> ACCOUNT NO . REVENUE AOENCV CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMDUNTREMITTED REFERENCE <br /> RVF14825-0'00 O1 ' 844010 22.;:; 1.4,872:93 G~e,~e ;i-~ ; 17.483 - CON. <br /> RVF13472-000 O1 844010 22 227.55--errs ~~f~~~~ Pte. 17608 - CON <br /> _t <br /> A <br /> <br /> i <br /> AMOUNT DUE 20 0.4$>?:.;::..: <br /> 734-1150A(11-88) <br /> <br />