G3regont?eparimPn.ofTransportation _ <br /> I ~ ~ PAGE N0. 1 <br /> BSILING DATE <br /> 09/04/01 19:55 <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 /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440. (503)986-3956 <br /> GENCY T/C CURR. DOG. DOG. DATE VENDOR NO./SUFFIX UNIT - <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SGGRCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> ':RVF12323-000 Q1 84401Q 21 Z;$~$.45 176Q8 - PE <br /> <br /> i <br /> <br /> ~I <br /> , . <br /> AMOUNT DUE <br /> na-usGAU2-asp <br /> <br />