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OregonDepartmenf of Trarrsporiation <br /> ~ ~ PAGE N0 . 1 <br /> ~ ~ V SEEING DATE <br /> ii 11/03/99 1:50 <br /> EPORT 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 97301-3872 <br /> iOST-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 /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132910-21 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> >:RVF1:0733=OQO>_ Ql 844Q1:0 22 3,427.1:3> 14248-CON=E, <br /> r ~ - ~ ~ « <br /> t ' E <br /> •z <br /> AMOUNT DUE ~~i~ <br /> <br /> 734-1150A(11-88) <br /> <br />