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Ziregon depart ?ar~i of Transportation <br /> ~ ~1 ~ ~ ~ PAGE N0. 1 <br /> BILLING DATE <br /> 03/06/01 19:37 <br /> REPORT N0. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> ~ t <br /> OREGON DEPARTMENT. OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-JENNY LYMES FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3956 <br /> i <br /> I <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX - UNIT <br /> <br /> ,l 73 350 0000132900-84 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> <br /> i <br /> RUFi2323-000 O1 844010 21 1,524.76 176.08 -'PE <br /> ~h~~~ ST~~~ TAY A ~ ~~T <br /> <br /> I <br /> t~ ? <br /> AM®UNT DUE ~-j-Si~P : <br /> TQ ,P-' <br /> 735-1i50AQ1-88) <br /> <br />