Oregon Department of Transp ortation <br />INVOICE PAGND D~rE 1 <br />••• 06/01/99 23:01 <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 />OST-CITY OF EUGENE PUB WORKS <br />LGIP ACCOUNT #5105-JENNY LYNNES FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97401-2795 i (503)986-3956 <br />pool. )4ccT-#1 SIDS <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br />73 350 0000132910-21 9901 <br />ACCOUNT REVENUE <br />SOURCE IOExCY <br />fau0.CE CUSTOMER <br />AMOUNT DUE CUSTOMER <br />AMOUNT REMITTED <br />REV CUSTOMER <br />REFERENCE <br />RVF10733-0Q0 01 844Q10 22 14;927.93 14248-CON-E <br /> ! <br /> <br />T r _ kc~ ~ fi s <br />t <br />E AG~;C ,~,t~Jcl,~~ F ~;, -~ r~ <br />~.~ , In~~~r~ ~C14~Rf Si. <br />i:~~rl..~r~,~,,.. <br /> Ft;viAY'GliR STn+~ ~{~~~ t( '~~;i Y P,GG~i~~r'T <br /> <br />AMOUNT DUE ;;. <br />< ;: 5afatr?2~-y~~ ~"' <br /> <br />7f4-11501(11-N) ,::: <br />-' <br />4~ <br />;~ <br />~# ~. <br /><Ei~i <br />s' <br />iElf:. <br />ij;::: <br />%iii{... <br /><r <br />~~ <br />;;;~: <br />tjr. <br />F; <br />£I;t <br /> <br />