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MTO 28428 GJN4220
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MTO 28428 GJN4220
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Entry Properties
Last modified
2/3/2009 2:27:16 PM
Creation date
2/3/2009 2:27:15 PM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
MTO
PW_Active
Yes
External_View
No
GJN
004220
GL_Project_Number
955002
Identification_Number
28428
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Caregon Department of Ti`ansportation ~ <br /> J - FISCAL vEAR REMI'1TANCE ADVICE <br /> 08 CHECK NO = 01892011r~PAGE 1 OF 1 <br /> INV/CM DATE INV/CREDIT MEMO NO NET AMOUNT DESCRIPTION <br /> _ 05/21/08 052108 10.17 TO REFUND BALANCE OF ADVANCE DEPOSIT <br /> °-'=OR QUESTIONS ON THE PRECEDING INVOICE(S) GALL DWYER SINF'IELD, MONK, 503-986-3558 <br /> / <br /> j ~ <br /> \ / <br /> i <br /> 1 <br /> ~ ~ ~ ~ <br /> Lf <br /> S. <br /> ~ ~ ~ ~ <br /> I ~ ~ <br /> I <br /> I ~ <br /> r <br /> i <br /> FOLD ON PERFORATION LINE BELOW ,Q BEFO~Q~j,~~elQI~NT <br /> $10..17 <br /> I <br /> 10 0 ~ q . a. 0 D a. D 0 <br /> Oregon Department of Transportation TO THE STATE TREASURER 96-10 O 1 H~/~Q <br /> ' FINANCIAL SERVICES SALEM ORE60N'97301 1232 <br /> I 355 CAPITOL SY NE .ROOM 434 <br /> I SALEM OREGON 97301-3872 ~ ODOT DATE 05/21/08 <br /> 503-986-3900 ~~irrr` <br /> AMOUNT. IN US DOLLARS <br /> ACCOUNT 731.05 ~1~.17 <br /> PAY TEN AND x.7/10.0'. DOLLARS <br /> `TO THE EUGENE, CITY OF VOID AETER 2 YEARS EROb7 GATE Of ISSUE <br /> )EFOF GRANT ACCT TAMMY SMITH <br /> 858 .PEARL STREET ~ <br /> EUGENE OR :97401 -J <br /> AUTIIORIZCD SIGNATURE <br /> <br /> i <br /> n'0 L89 20 L Lu' i 2 3 200 i0 i~: 7 3~ LD 5u' , ~ <br /> <br />
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