Oregon Department of Transportation <br /> ® ~ ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 11/03/99 1:50 <br /> EPORT N0. <br /> i <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 /> LGIP ACCOUNT #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br /> 1858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> ~ 'EUGENE OR 97401-2795 ~ (503)986-3956 <br /> L. _ _ <br /> i <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> i 73 350 0000132910-21 9901 <br /> REVENUE A6ERCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF1Q733=Q00 Q1 844.47: Q: 22 3,:427.7:;3' 14248-CON-E <br /> <br /> I . <br /> <br /> i <br /> <br /> i <br /> r, <br /> _ . <br /> * ~ <br /> AMOUNT DUEi'' ~ <br /> , <br /> 754-1150A(11-88> <br /> <br />