Oreg~nDeparfinentofTransportaHon <br /> PAGE N0. 1 <br /> VO ~ ~ ~ ILLING DATE <br /> _ 06/30/03 21:08 <br /> ACCOUNT N0. <br /> ~ SEE BELOW <br /> i <br /> j 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)986-3874 <br /> i <br /> E <br /> r <br /> t <br /> ( AGENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> <br /> i, REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> <br /> ~ ACCOUNT NO. REV <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RUFI.3472 000; fll 844;03a 22 < 2, 014.70 X76118 „CON.:; <br /> <br /> f <br /> <br /> i <br /> ;3. <br /> p . ~a_ ~.m <br /> - <br /> is <br /> AMOUNT DUE ¦AA¦~¦ <br /> 734-11500.(11-88) <br /> <br />