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Oregon Department of Transportation <br /> N VCS I C E PAGE N0. 1 <br /> 7 ~ SEEING DATE <br /> 08/05/03 20:55 <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 /> 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 /> GENCY T/C CURR. DOC. DOC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVENUE ADENCY CUSTOMER CUSTOMER CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV .REFERENCE <br /> RVF~3472=00D, a]:.>< ..8~+4;0'~~;.... 22 <:985,:~1... :..3.76.08 ,CON <br /> --a~;w~ <br /> fit:. ~::~~°~:~~SY~s ~ <br /> . <br /> : <br /> AMOUNT DUE <>:;::$9:....,:.:1:~.;;;:.,~r <br /> <br /> 734-115DA(11-88) ~ . <br /> <br />