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Oregon DQpartment of Transportation <br /> I N Vt~ I~ E PAGE N0. 1 <br /> BILIiNG DATE <br /> 11/06/01 20:13 <br /> REPORT NO. <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 /> i <br /> _ ______.-i <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 /> f EUGENE OR 97440 (503)986-3956 <br /> i <br /> <br /> i <br /> <br /> ~ AGENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> <br /> j SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF13470-OOD 01 844010. 22 31'0 91 17608 ~ CON <br /> RVF12323-000 O1 844010 21 740.6 17608 - PE <br /> '~i.'4,1$$ i+sc~~a oak ~S4a~-'c~C.td'~~~~ Sri, <br /> AMOUNT DUE T=•" = ~ C=am <br /> 734-1150A <11-88) <br /> <br />