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Oregon Department of Transportation <br /> 1 Y ~ ~ PAGE N0. 1 <br /> 9lUUfNG DATE <br /> .12/08/99 1:25 <br /> REPORT N0. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT,. RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITAL STREET NE, RM434 <br /> SALEM OR 9.7301-3872 <br /> OST-CITY OF EUGENE PUB WORKS <br /> ~ LGIP ACCOUNT #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br /> ~ 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> ~ EUGENE OR 97401-2795 (503)986-3956 <br /> J <br /> <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR NO.lSUFFIX UNIT - <br /> 73 350 ~ 0000132910-21 9901. <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> SOURCE soVBCE AMOUNT. DUE AMOUNT REMITTED REV REFERENCE <br /> RVF10733-000'' 41 844010 '`22 I7:,62g31 14248=CONE <br /> °1 <br /> AMOUNT DUE <::<;::<:>::::::::`: <br /> <br />