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Oregon Departr»ent ofTransportation <br />. ~ ~ ~, i ~ ~ C PAG NG DAATE 1 <br />V G <br />.06!03/03 19:55 <br />CCOUNT ND. <br />SEE BELOW <br />TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS. FORM WITH YOUR REMITTANCE T0: <br />OREGON DEPARTMENT OF TRANSPORTATION <br />355 CAPITOL STREET NE, RM434 <br />SALEM OR 97301-3872 <br />OST-CITY OF EUGENE PUBLIC WORKS <br />LGIP ACCOUNT #4409-PEGGY HAMLIN ~ FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97440 (503)986-3879 <br />GENCY T/C CURR. DOC. DDC. DATE VENDOR ND./SUFFIX UNIT <br />73 350 0000132900=84 9901 <br />ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br />SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br />AMOUNT DUE <br />