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Dragon Deparlmentof Transportation <br /> ~M7~ ~ R ~ <br /> • ~ I \,O ~ ~ ~ PAGE N0. 1 <br /> ' / ~ V Y ILLING DATE <br /> JL <br /> 08/04/99 23:25 <br /> - EPORT NO. <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 #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> !EUGENE OR 97401-2795' (503)98b-3956 <br /> <br /> i <br /> <br /> i <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132910-21 9901 <br /> REVENUE A6ENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF10733-000. O1 844010 22. _ 1,026.46 14248-CQN=E <br /> - _ . <br /> ~}~E ~`~t~~i,~'~IL~~Jt~i iPlivCSi~~! YYI t~~11~`a <br /> - ~R M YOllR'STAi~'fiR~ASt9 Y A CO;~fi~T'` _ <br /> AMOUNT DUE S'~"~- <br /> , <br /> _ , <br /> 734-11580.(11-88) <br /> <br />