Oregon Department of Transportation <br /> ' ~ ~ ~ ~ ~ ~ PAGE N0: i <br /> ii ILLING DATE <br /> - ~ o8io2ioo 21:12 <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 /> ~ SALEMAORT97301R3872NE,. RM434 <br /> OST-CITY OF EUGENE PUBLIC WORKS ~ - <br /> LGIP ACCOUNT #4909-JENNY LYMES ~ <br /> <br /> ~ j 858 PEARL 4TH FLOOR ~ FOR INFORMATION CONCERNING <br /> j ~ THIS INVOICE CALL: <br /> EUGENE OR 97440 ~ 1503)986-3956 <br /> ~ - I <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX - <br /> UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT REVENUE AGENCY ClSTOMER <br /> SOURCE SOURCE CUSTOMER CUSTOMER <br /> AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF12323-000 01 843000,` 21 5.90 17608 = PE <br /> 3~ n <br /> TM~ ~.'vh~. ~t.:~~~f~~N~~ 8~~~ ~YV~ ND~A~~N <br /> ~ ~ot~~; s <br /> n~-r ~~~~~s~~ ac o~r~~ <br /> AMOUNT DUE _ - - <br /> X34-usa~ul-aa~ <br /> <br />