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Oregnn Department of Transportation <br /> PAGE N0. 1 <br /> BILLING DATE <br /> 12/04/01 20:06 <br /> EPORT ND. <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-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> THIS INVOICE CALL: <br /> :858 PEARL 4TH FLOOR <br /> (503)486-3956 <br /> EUGENE OR 97440 <br /> 'i - <br /> i <br /> <br /> I AGENCV T/C CURR. DOC. ~ DOC. DATE VENDOR NO./SUFFIX UNIT <br /> ' 73 350 0000132900-84 9901 <br /> i <br /> REVENUE A6ENCY - CUSTOMER - CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT. REMITTED REV REFERENCE <br /> RVF1347Q-0fl0 03 844030 22 5,94.-05 17608 - CON <br /> s~~~ <br /> ~ <br /> AMOUNT aUE <br /> 734-115RAC11-88) <br /> <br />