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Oregon Department of Transportation <br /> ' ' I Y ~ ~ ~ ~ PAGE N0. 1 <br /> BILLING DATE <br /> 12/08/99 1:25 <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 /> OST-CITY OF EUGENE PUB WORKS <br /> IGIP ACCOUNT #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br /> j 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> ~ EUGENE OR 97401-2795 (503)986-3956 <br /> I <br /> AGENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 ~ 0000132910-21 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ' SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> i <br /> i <br /> RVF10T33-000 O1 844QI0 22 17,629.31 ~ 14248=SON=E< <br /> ;,.1 <br /> <br /> i <br /> <br /> I, . <br /> U N T DUE > > ?::>::>::::>::::::>:>::<::<:>. <br /> 734-3150A<11-88) <br /> <br />