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Oregorl Departrnent of Transportation <br /> f Y ~O ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 11/04/03 20:13 <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 /> r ' <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> j <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO. REVENUE A6ENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> ;:.RVF1.4825 COQ fl1 : 844010 22 83,:47 174,.83 CON <br /> . <br /> RyF13472 OaO; O1 844x10 22 ;:7.60 10 176;08 CON <br /> G. <br /> . <br /> ; <br /> <br /> i <br /> - - <br /> A OUN D E <br /> ~s4-Ilsoacll-say <br /> <br />