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Oregon Department of Transportslion <br /> ' I I~ VO I C E PAGE N0. 1 <br /> 7 ~ IILING DATE <br /> //jj 09/02/03 20:41 <br /> (COUNT NO. <br /> <br /> i <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 i 'FOR INFORMATION CONCERNING <br /> X858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> s GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVENUE ABENCV CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> `'RVF13472-000 O1 844Q3.U 22 1273i'.35 176'08 - .GON <br /> _ . <br /> f <br /> AMOUNT DUE 35 <br /> ~a~,-usRAnl-ss~ <br /> 'i _ _ _ <br /> <br />