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Oregonl~epartment of Transportation <br /> <br /> a~ ~ ~ ~ ~ ~ ~ PAGE NO. 1 <br /> ILL ING DATE <br /> 1J 11/07/00 19:51 <br /> REPORT N0. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM 41ITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> OST-CITY OF EUGENE PUBLIC 4fORKS <br /> i LGIP ACCOUNT #4909-JENNY LYMES FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR i THIS INVOICE CALL: <br /> EUGENE OR 97440 i 1503)986-3956 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 OOOOi32900=84 9901 <br /> ACCOUNT REVENUE 46ENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> . <br /> RVF12323-000 Ol 844Q14< 21 3S_06 17608 - PE <br /> _ J^ r: p..~s ~g p <br /> AMOUNT DUE <br /> 734-1158AC 11-88) <br /> <br />