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Oregon Department of Traruportation <br />~ ' ~ ~~ ' ~ ~ PAGE N0. 1 <br />ILLING DATE <br />12/01/98. 23:19 <br />- 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 />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-27951 (503)986-3956• <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br />73 350 0000132910-21 9901 <br /> <br />ACCOUNT REVENUE ROENCY CUSTOMER CUSTOMER <br />REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />RVF10733-OQ0 Q1' 84407.0 22 18,265.66 ~Srl ~~f~ 14248-CON- <br /> <br /> <br /> <br />AMOUNT DUE -`"mss-rQa- <br />