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- EPORT '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 />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 />1858 PEARL 4TH FLOOR ', THIS INVOICE CALL: <br />EUGENE OR 97401-2795 (503)986-3956 <br /> <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 0000132910-21 9901 <br />' <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER <br />REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />RVF10733-000' O1 844010 22, 35;2$2'_76' 14248=GQN-E <br /> <br />AMOUNT DUE ~~~~~ _ ~~ -- <br />