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Ureyon/~eparlmenl 01 :rarlSppriation <br /> JJy~ ~ ~ ~ ~ ~ PAGE NO . 1 <br /> J BILLING DATE <br /> ee 7i 12/05/00 19:45 <br /> ' ~ REPORT 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 /> 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 /> AGENC'! ITiC ~CURR. DOC. DOC. DATE 1t'E NDOR NO./SUFFIX UNIT <br /> 73 350 i ( I 0000132900=84 + 9901 <br /> I ACEN~Y <br /> ..,.COUNT I REVENUE I ~ CUSTOMER CUSTONER REV CUSTOMER <br /> SOURCE SOURCE kMO UNT DUE I AMOUNT KEHI7TED REFERENCE <br /> I <br /> RUF12323-000 O1 ~ 844010. 21 49.D5 ~ 17608 - PE <br /> I <br /> I <br /> - <br /> 4 _ . <br /> i <br /> <br /> "I { <br /> 1 <br /> ~ a <br /> !I <br /> i 1 <br /> AMOUNT DUE <br /> ~s~-usa~csl-sas <br /> <br />