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~egon Department of Transportation <br /> ' N ~O ~ ~ ~ PAGE N0. 1 <br /> 1 V ILLING DATE <br /> 01/06/09 19:05 <br /> - CCOUNT N0. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE TO: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> EUGENE, CITY OF <br /> GRANT ACCT TAMMY SMITH FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO. SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> ;:;R~/F~.'.8280-OII~ 44a1g'; ;93 : ~ ,<;P <br /> <br /> I' iJ~.: ..8 2~ ..:.::.::>::::::::>:;::::....x.....57 23 22 ::........E.... <br /> VF .802 -000:< . ~r4a ;:>:>:.:>s:;:<>:.; <br /> <br /> I R.. 7 n~...., lII s >,2~, 39~ :~.3.: ~:;<.:<>r::.> 2343 :::PE <br /> R . F~ 8 1 4 0 ' 3T ~ U <br /> V 43 6-OaU. ::84`` 0 <br /> ~ i_ . _ . 22 .428..7.3:::. ~t 2..... _4b ~ G <br /> RVF15752-000 O1 844010 22 32.28 23750 - CON - <br /> r-r~ ~ s. ; : ~ <br /> ' <br /> E . <br /> a 3. <br /> . <br /> ::i:~: ;:jJ - <br /> ~:r <br /> :}:~iiii . ';:y~ ~ ~ T n'' f .:~-.et6 ~~e r 1 ~.::3 j„C%k,. l!~.. <br /> AMOUNT DUE <br /> ....4.... <br /> 734-1150AC11-88) - <br /> <br />