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TO ENSURE PROPER CREDIT; RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br />OREGON. DEPARTMENT OF TRANSPORTATION <br />434 TRANSPORTATION BUILDING <br />SALEM OR 97310-0780 <br />~ OST-CITY OF EUGENE PUB WORKS <br />LGIP ACCOUNT #5485-JENNY LYNNES ~ FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />f EUGENE OR 97401-2795 (503)986-3956 <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 13291 -63 9901 <br /> <br />ACCOUNT <br />REVENUE <br />SOURCE AGENCY <br /> <br />SOURCE <br />CUSTOMER <br />AMOUNT DUE <br />CUSTOMER <br />AMOUNT RE TIED <br />REV <br />CUSTOMER <br />REFERENCE <br />RVF1x229-aQO; QI 844Q10. 22, ~ .~1G~' 13g. (, 9 ~~ ~ z:9z-r 1796 - CON <br />RVF10955 000 O1 844010 22 555.:.05 ~ ~f <br />C}~ <br />~ 15016 - CON <br /> ~/ <br />, <br />~~~5 <br />} <br />1_° <br />3>s <br /> i6~fORM T~O~AL fl~LY <br /> THE ABt3~l~ AMfI#~ T tf,~~: ~~f :I~i3HD~tV~ <br /> ~RO~I ~~~~d STA .> . ~l~URY At!~{V~" <br /> <br />AMOUNT DUE <br />