Oregon Department of Transportation <br /> N V~ I ~ E PAGE N0. 1 <br /> 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 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 #4909-TAMMY SMITH FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE ~6ENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO • SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> Ri/F3;:~~7~,->Op0 Ol>~ 844II~:A ~2.;..:....;<;: :...720::,446;84 209$ - >~CON <br /> _ <br /> 9 H.d'~.~8&6e. 4H.V ~N.J^pB~ ~tlE~ •PP~ ~66 cC <br /> AMOUNT DUE <br /> <br /> 734-1158A(11-88) <br /> <br />