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OregonUeis~rtmentofTransportation J ~0 Z 4 <br /> ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 01/01/02 10:52 <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 /> QST-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)986-3879 <br /> } <br /> i <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> I <br /> 73 350. 0000132900-84 9901 <br /> .'REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT 6UE AMOUNT REMITTED REV REFERENCE <br /> 'RVF1347U-00'0 U).'> 844.01'0 22 4;443:28 1T6D8 - CON <br /> <br /> i <br /> i <br /> AMOUNT ELSE _ _ <br /> . <br /> 734-1150A(11-88) <br /> <br />