Oregon pep,~r`~+ert of Transpcrtation <br /> ?AGE N0. 1 <br /> IILING DATE <br /> 04/03/01 19:59 <br /> EPORT N0. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> i <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-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 1858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3956 <br /> AGENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF12323-000 O1. 844010 21 `4,976.69 17608 - PE <br /> . <br /> <br /> I <br /> <br /> i, - <br /> 0f1~_~!~~~i4~.. yi,ti`d~ ~ftJ Yk~~~~~: ,"~it~~t <br /> AMOUNT DUE <br /> _ <br /> 734-11500.(11-88) <br /> <br />