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Qregon Department of Transportation <br /> ~O ~ ~ ~ PA6E N0. 1 <br /> f ~ IILING DATE <br /> 01/06/99 4.38 <br />- EPORT N0. <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 />_._ __. <br />_ _. __ <br />!OST-CITY OF EUGENE PUB WORKS <br />', LGIP ACCOUNT #5105-JENNY LYNNE5 ' FOR INFORMATION CONCERNING <br />'.858 PEARL .4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-2795 (503)986-3956 <br />__ __ <br />AGENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 0000132910-21 9901 <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER <br />~ REV CUSTOMER <br /> SOURCE SOURCE AMOUNTDUE AMOUNT REMITTED ~ REFERENCE <br /> <br /> <br />RVFT0733-000: O1' <br />844010 _ <br />22 <br />59',119.99 "_ _ <br />14248=CON-E <br /> ~~a~ <br />~~ <br />wz <br /> <br />AMOUNT DUE , --~-~- <br /> <br />