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GJregon l?epartmpnt of Transportation <br /> ~1 r ~ ~ ~ ~ PAGE ~NO. 1 <br /> B lLINO DAT <br /> 09/04/01 19:55 <br /> <br /> .l EPORT N0. <br /> 3~ 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-PEGGY HAMLIN ~ FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> I''~ ,EUGENE OR 97440 (503)986-3956 <br /> J <br /> OENCY T/C CURR. DOG. DOG. DATE VENDOR N0./SUFFIX - .UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT OUE AMOUNT REMETTED REV REFERENCE <br /> RVF123~3 OQfI 07. ~44~10 21 Z,B2~ 45 176Q8 - pE <br /> , . <br /> -r...: <br /> ~ <br /> ~LSP'~~f~~~ 3~UttE ~ 41~ .,~?M SY~~~t~6d ~'4°;I"~i'b~'!S <br /> I' - ~,3 y^~q <br /> AM <br /> OUNT <br /> DUE <br /> 754-1350AC33-88) <br /> <br />