Gregon Deparimant of Trans~Crfation <br /> PAGE N0. 1 <br /> BILLING DATE <br /> 09!08/99 23:56 <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 /> 434 TRANSPORTATION BUILDING <br /> SALEM OR 97301-3872 <br /> OST-CITY OF EUGENE PUB WORKS <br /> LGiP ACCOUNT #51.05-JENNY LYNNES FOR INFORMATION CONCERNING <br /> i 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97401-2795 ~ C503)98b-3956 <br /> i <br /> I <br /> ~I GENCV TIC 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 /> RVF10733-000 01 844010'- 22 1,126.77 1'4248=CDN-E; <br /> i <br /> e` Y . <br /> l:( <br /> <br /> ~ , <br /> i <br /> AMOUNT DUE <br /> ~s4-Ilsoaal-as> <br /> <br />