OregonDepartment of Transportation <br /> /J/~ I N ~Q I C ~ ~ PAGE ND . 1 <br /> 7 f ILLING DATE <br /> * 12/05/00 19:45 <br /> ' EPORT NO. <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 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> _ <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 /> _ _ <br /> I <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT - <br /> 73 350 0000132900=84 9901 <br /> AGENCY <br /> ACCOUNT REVENUE CUSTOMER CUSTOMER ~ CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE APIOUNT REMITTED REV REFERENCE <br /> RVF12323-0,00 O1 844010 21 49:05 17608 - PE <br /> I <br /> ; ~ ~4 <br /> ~ F - _ is e <br /> 1 <br /> !I <br /> f _ <br /> Y <br /> f ' <br /> t <br /> t <br /> <br /> i <br /> AMOUNT DUE <br /> 734-1150AC 11-83) <br /> <br /> I _ _ _ <br /> <br />