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QregonDeparfinenf of Transportation <br /> . ~ n ~ ~ ~ PAGE N0. 1 <br /> y IILING DATE <br /> 10/06/99 2:14 <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 /> IGIP ACCOUNT #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97401-2795 L503)986-3956 <br /> GENCY T/C 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 /> RVF1O733=Ot30 O1 844Q30 22 _ 5,039.6Q 14248-CON-E <br /> ~',g ~°q '^'i R ~r °fs° 4 i4 Ra b fr F ~ ~7 _ <br /> F t c~ <br /> i-ss"ivif# tG_.~ 4r_r-i:~ ~i~; ~~~aJ~til <br /> AMOUNT DUE <br /> ~'S'3'$~:::9~-8 ' <br /> <br /> ra4-uSaACU-asI <br /> <br />