Oregon Aeparfinent of Transportation <br />PAGE N0. 1 <br />~~ ~ ~ ~ °~ ILLING DATE <br />03/03/98 23:00 <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 />OST-CITY OF EUGENE PUB WORKS <br />LGIP ACCOUNT #5105-JENNY LYMES FOR INFORMATION CONCERNING. <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97440 (503)986-4018 <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 0000132910-21 9901 <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />RVF10733-a4o O1 >;> 844QJ.0 22 - ; ~ p~~~ 29,720.38 Fs~ ~r~_ ~. k ~ ~ F~ J.42~+~~-coN E <br />~'~` <br />AMOUNT DUE <br />