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Oregon Department of Transportation <br /> PAG NG DOTE 1 <br /> 12/04/01 20:06 <br /> EPORT N0. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YDUR 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 i <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN ~ FOR INFORMATION CONCERNING <br /> !858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> EUGENE ~ OR 97440 ~ C503~)986-3956 <br /> i <br /> GENC4 T/C CURR. OOC. ~ DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 4901 <br /> ACCOUNT REVENUE AGENCY ~ CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT. REMITTED REFERENCE <br /> <br /> I RVF13470 ~]OQ' O1" 84030 > `22 x;294;:05 i7;Gfl8 CON ; <br /> AMOUNT DUE ~:.~::.;"i.;-19~ <br /> 734-1158AQ3-88) <br /> <br />