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QregonDepartment ofTransportation <br />PAGE NO.. 1 <br />SEEING DATE <br />04/08/98 22:18 <br />EPORT NO. <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 />OS~T-CITY OF EUGENE PUB WORKS <br />LG~ IP ACCOUNT #5485-JENNY LYNNES FOR INFORMATION CONCERNING <br />"; 1858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-2795 (503)986-4018 <br />j - <br />i <br />. GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 13291 -63 9901 <br />REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br />i ~ ~~ ~ ACCOUNT SOURCE SOURCE AMOUNT DUE AMOUNT REMITTE REV REFERENCE <br />~~~r~ RVF10310 OfiO O1 84401~Q_ 22 ~ ~:: ° 7:x.66 £~/. _.~~ . ~_,.._.. ~ .;~_.._._ _J.15'~:_;.;~,C.OK_ <br />_ ~„ .._ _ _ _ .~ ~ m _ <br />~cf'~. ~ RVF109'-O`QO O1 844010._ 22_ ~~.~,_~~-~ ~i 6~% -9"x'6' _~~~~'~`~~,_7~" 11796 - CON <br />°~ ;.RVF1:0965-Oa0 Ui 8440).0_ 22 .~~sz .~.~__._.. 141.24 ~.,~ r.~~ .' j` _~L ~.~. ~ .1501 Ex ," GON <br />~~ji~' <br /> <br /> <br />` J to `~. ~~?? <br />~~1~~./V~~~"'.. VL11.7'r~i 3 Z Z c~c.~ <br />%~~ -7 ,~yjd, J.. ~ <br />~~(/~. ;, ..., 7" !,.~~f° .:. (yy' ~ j~-}{y~Y~g~~,,'( B~o ~` <br />~i~ t ~f ////IY~y{(~/, `"' <br />_. 7 /' ( p, h) <br />~(~~J_~~'i/{" ,Q/ <br />(7/~,S <br /> 1,. <br />~ ~' )~~. ~ ~ / V <br />` ~ ti <br />/ ~~ <br /> ?~ <br />l 3 0 :~ 64 ~ ~o . X333 ~~ <br /> <br /> t ~ <br /> . ~. <br />> ~ Jr ~~ <br />AMOUNT DUE' <br />