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Oregon JepartmentofTiansportation ~ ~ Z Q33~ (br I ~ Vi 1 ~ v-t ~ ~~~ - LL"i~ r hY-`..- 6 ~'T~~ <br />N VQ I C E PAGE NO. 1 <br />ILIING DATE <br />04/06/99 23:20 <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 #5485-JENNY LYNNES ! FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-2795 (503)986-3956 <br /> <br />~ GENCV T/C CURR. DOC. DOC. DATE ~ VENDOR N0./SUFFIX UNIT <br />j 73 350 ~ 13291 -63~ 9901 <br />i <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER <br />REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVFi0965-QQU t11 844010 22 405..23 <br />fi: 15016 - CON <br /> <br /> <br />AMOUNT DUE ~: :.~: <br />` ~' <br />: <br /> <br /> <br />~aa-usaA:it-asp .... ,. <br />_. <br /> <br />_- __. _.. <br />