Aloe U4i ya LL • 5U <br />r ~ 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 BUiLDINCi <br />SALEM OR 97310-0780 <br />~ OST-CITY OF EUGENE PUB WORKS <br />LGIP ACCOUNT #5105-JENNY LYNNES i FOR INFORMATION CONCERNING <br />858 PEARL .4TH FLOOR ~ THIS INVOICE CALL: <br />EUGENE OR 97401-2795 (503)986-3956 <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 ~ 0000132910-21 4401 <br />ACCOUNT REVENUE A6ENCY CUSTOMER CUSTOMER REV CUSTOMER <br />SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />RVFlB733-000 O1 844Q113 22 3;074'.37 ~ ~ 14248-GON-E <br />S!EG ~%~?i~"~.` NV~`t,~~1ilS`tt ~Yks'i ©~ !1~ 9' ~li1LDfZHe'F~~ <br />AMOUNT DUE -i~~~r$~.'_`::., ,: .:::>::<=>:: <br />:..:: <br />734-115OACi1-88) <br />