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Oregon Department o/Trarspor;ation <br /> ~ ~ PAGE N0. 1 <br /> BIII ING. DATE <br /> 02/Ob/O1 20:34 <br /> REPORT N0. <br /> FMBL824-i <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 /> AGENCV T/C CURR. DOC. DOC. DATE VENDCR N0. lSUFFIx UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT REVENUE AcENCV CUSTOMER CUSTOMER. REV CUSTOMER <br /> SOURCE SOURtE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> <br /> ' RVFT2323-000 01 84.4010 2i. 887.10 17608 PE <br /> - §181'„k~i~°p`L~~.~~~,~'(C('~v.4~d~ Gr~B~ R1Rt[~{ <br /> f:i d 2° r a ~ .T 1,•7 E'~4.i s.~ ~}b~ g i 1~ i{''r-tp:'!Y <br /> ~ii~ ~ Pf[r ~ t<< r~ r ne ~ at;i <br /> 113 t'.-- I.. r~.-rr-~'^h'irti a?•~~^)'~" <br /> AMOUNT DUE `-~u~=8- <br /> 734-1150A(11-88) <br /> <br />