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Oregon Qeparfinenf of Transportation <br />V~ ~ ~ E PAGE N0. 1 <br />ILLING DATE <br />12/01/98 23:19 <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 ~ (503)986~3956CALL: <br />EUGENE OR 97401-2795 <br />GENCY T/C CURR. DOC. DOC..DATE VENDOR NO./SUFFIX UNIT . <br />Z3 350 13291 -63 9901 <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER ~ REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />RVFJ,0229-000 O1 844U1Q 22 _1b,021.20 ~~~.~, ~"~~ -`;'''~ 11796 - 'GON <br />R~I~l0~Q4-000 O1 84410 22 7:6b ~ 1-~~ »' ~~• ~~! ~~~ 15U16 - PE <br /> ~: ~ <br /> ~~. <br />'~,~ <br />AMOUNT DUE ~*E „~Q ~~,,..~~. . <br />...~drVf v4~i :'Cf <br />734-1150A(11-88) <br />