Qregon Department of Transportation <br /> VD ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 08/07/01 20:15 <br /> EPORT N0. <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 /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-395b <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF12323-C~QO O1 844410 21 1,924:41 176Q8'- PE <br /> o~ ~ <br /> ` - ~ ~~~y„5 ~23~ib~q <br /> ( <br /> AMOUNT DUE > <br /> <br /> - 754-1150AQ1-88) <br /> <br />