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Ore~ort Department of Transportation <br />I! ~VC~~~~ PAGE N0. 1 <br />ILIING DATE <br />' 07/01/98 16:07 <br />EPORT N0. <br />FMBL824-1 <br />TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE TOa <br />OREGON DEPARTMENT OF TRANSPORTATION <br />434 TRANSPORTATION BUILDING. <br />SALEM OR 97310-0780 <br />OST-CITY OF EUGENE PUB. WORKS <br />iGIP ACCOUNT #5485-JENNY LYNNES FOR INFORMATION CONCERNING <br />!'858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-2795 i (503)986-3956 <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 13291 -63 9901 <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />RVF10310-000 Q1 844010 22 ~(o~a} ' 0.00 1'1525 - CON <br />RVF1Q229-000 O1 84401Q 22 12,334.88 11796 = CON <br />RVF111465-000 O1 844010 22 108.98 15016 - CON <br /> ~' <br /> '~°@ <br /> <br />~l _ <br />~.~ m Y e a / <br /> <br /> <br /> <br />AMOUNT DUE ______ <br />ISA-1158A(11-88) <br />__ <br />