Qregon Department of Transportation <br /> ~ ~ ~ ~ PAGE N0. 1 <br /> ILIING DATE <br /> 10/06/99 2:14 <br /> - EPORT N0. <br /> l FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> i <br /> ~ OREGON DEPARTMENT OF TRANSPORTATION <br /> i 434 TRANSPORTATION BUILDING <br /> SALEM OR 97301-3872 <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 /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132910-21 9901 <br /> ACCOUNT REVENUE AOERCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF10733-OQO Ql 844Q10 2'Z S,039.6Q 14248-CON-E <br /> f <br /> z ~ E <br /> - <br /> ~ ; ~ c < ' r F ~ i <br /> <br /> I <br /> AMOUNT DUE <br /> 734-1150AQ1-88) <br /> <br />