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Oregon Department of Transportation <br />1 ~1 V~ ~ ~ ~ PAGE N0. 1 <br />BILLING DATE <br />06/02/98 21:48 <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 I FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR I THIS INVOICE CALL: <br />j EUGENE OR 97401-2795 (503)986-3956 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX _ UNIT <br /> 73 350 13291 -63 9901 <br /> <br />ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER <br />REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF1Q229-QQ0 01 8~4a10 22' 36,354.31 f-{~°~ ~'z--~z-1 11796'= CON <br /> ~~ ~~ r <br />~. ` , ._ <br /> <br /> <br /> <br />] AMOUNT D <br />UE <br /> <br />tG~ll G11!!11_RRl <br /> <br />s ................. <br /> <br />...... <br />