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Oregon Department of Transportation . 1 z~ 2 <br /> ~ ~ i~ n PAGE N0. 1 <br /> q~-. ILLING DATE <br /> fK..C 08/04/99 23:25 <br /> Poo~~ Sy~S SPORT 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 /> j _ _ <br /> OST-CITY OF EUGENE PUB WORKS <br /> LGIP ACCOUNT #5485-JENNY LYNNES FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> .EUGENE OR 97401-2795 (503)986-3956 <br /> <br /> i <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 13291 -63 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF10229,-000 O1 <844010 22 _ -B-~8~8- a 70~, 6S"> 11796 - CON <br /> AMOUPIT DUE NO f2~MI"J'`t'AN~E R~,~UI~t~D <br /> 734-1350A(11-88) <br /> <br />