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Oregon ueparrment of Transportation <br />` I ! Y ~~ ~ ~ ~ PAGE NO. 1 <br />IILING DATE <br />1J 11/03/98 21:54 <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 <br />858 PEARL 4TH FLOOR <br />EUGENE OR 97401-2795 <br />i. -- --- ---------_ <br />FOR INFORMATION CONCERNING <br />THIS INVOICE CALL: <br />(503)986-3956 <br />AGENCY T/C CORR. DOC. DOC. DATE ~ VENDOR N0./SUFFIX UNIT <br />73 350 13291 -63 9901 <br /> <br /> <br />ACCOUNT <br />REVENUE <br />SOURCE AGENCY <br /> <br />SOURCE <br />CUSTOMER <br />AMOUNT DUE <br />CUSTOMER <br />AMOUNT REM TED <br />/_ <br /> <br />R <br /> <br />" <br />CUSTOMER <br />REFERENCE <br />R V F 1 Q ~ 6 5~ ; '. y-~ . ~ ~ ~ - ~ > <br />, ~.~:~a1.6 ~~J~.o:~r <br />RVF10809-000 01 844010 22 712:15 ~ ~~~- ~ ~L <br />r' 15016 - PE <br />~- - - --- - - ~ .~ ~.. ~ <br />l~/G'~-''C.~ ~i ~ <br />C.~/ ~ ~ <br />~' ~ <br />~ ~- ~~. <br /> g <br />~~ <br />~` bce <br />~a <br />~ <br />f~ <br />~ <br />~ <br /> <br />- ^~p°pAy® #~~1 ~~pyj&gF[ <br />prrr~~~y@gy <br />. <br />0tl6 <br />6X (866 <br />4 <br />{@5 ,p^, yp <br />' <br />p~ <br />@;p® <br />~pp <br />)(~g pp <br />gS~g~gq ~@~$p~~@ <br />C <br />~RV W@ <br />p ~ <br />F <br />" ;3(g{~9 <br /> <br />... q^'p <br />g <br />~ <br />6 a ~e k ..-8"~ , <br />g, <br />Yt d <br />66Y 5LLd <br />8i <br />t~ta~ otlS a3va ~r3„~'.~ ~uhp~~~ 9H <br />b.. <br />AMOUNT DUE ~~~Q ~~ <br />;. <br />