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Oregon Deparfinenf ofTransportation <br /> 1 Y ~O' ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 10/07/03 21:00 <br /> CCOUNT ND. <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 <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 /> <br /> 1 <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> i <br /> ACCOUNT NO. REVENUE ~ ~6ENCY CUSTOMER CUSTOMER REy CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> I <br /> RVF1482~ OD0 U1., 844x10 '~2.. I85.5S I7483 CON <br /> R.~ <br /> R..~IF13472 .0:0:0... ~1.: :844010 ~2.: , : 191.,12 ' . 17b.08 CON <br /> I ; <br /> _ ~ <br /> , . , E ...,.f~i...1~s~~.~.,..:..,..:...., <br /> ..~.:s:~,~..:....::.:.,..:. , <br /> : . <br /> AMOUNT DUE s:,:: <br /> ~a4-Ilsoacll-ae~ <br /> <br />