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Oregon Department of Transportation <br />N V® ~ ~ ~ PAGE N0. 1 <br />7 ~ ILLZNG DATE <br />05/04/99 22:48 <br />EPORT N0. <br />FMBL824-1 <br />TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE.TO: <br />OREGON DEPARTMENT OF TRANSPORTATION <br />434 TRANSPORTATION BUILDING <br />SALEM OR 97310-0780 <br />OST-CITY OF EUGENE PUB WORKS <br />LGIP ACCOUNT #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-2795 j (503)986-3956 <br />GENCY <br />73 T/C <br />350 CURR. DOC. DOC. DATE VENDOR N0./SUFFIX <br />0000132910-21 UNIT <br />9901 <br /> <br />ACCOUNT REVENUE F6ENCY CUSTOMER ~ CUSTOMER <br />REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE ~ AMOUNT REMITTED REFERENCE <br />RVF10733-0'00 O1 844010 22 3~,34U.99 1.4248-CON-E <br /> ~:m <br />'_ , <br />AMOUNT DUE <br />