~~Cfreg~n Department of Transportation <br /> FISCAL TEAR REMITTANCE ADVICE <br /> 08 CHECK NO = 01891622 PAGE 1 OF i <br /> INVICM QAT€ INV/CREDIT MEMO NO NET AMOUNT DESCRIPTION <br /> ~.-?5/19/08 REFUND 1,000.00 TO REFUND BALANCE OF ADVANCE DEPOSIT <br /> 'Z QUESTIONS ON THE PRECEDING INVOICE(S) CALL TOMPKINS, DANIEL K, 503-986.-3951 <br /> , <br /> _ <br /> _ % <br /> I <br /> f <br /> E <br /> ~ ~ <br /> C.~ 3 <br /> a <br /> a0~ <br /> <br /> ~ ; <br /> FOLID OIV PERF018ATION LINE BELOW ,a BEFO)~fl161XIs1@i11?~IVMENT ~ ~ ~ o0 <br /> ea ® e s <br /> Oregon Department of Transportation TO THE STATE TREASURER , 96-10 O ~ ~ <br /> FINANCIAL SERVICES SALEM OREGON. 973D1 1232 <br /> 355 CAPITOL ST NE ROOM 434 <br /> SALEM OREGON 97301-3872 ODOT' DATE 05/20/08 <br /> 503-986-..3900 <br /> AMOUNT IN US DOLLARS <br /> ACCOUNT 73105 ~1 QQQ ~ OQ <br /> PAY ONE THOUSAND. AND..00/100 DOLLARS <br /> _i <br /> <br /> i <br /> ' 7THE CITY OF EUGENE ~ ~ VOID AFTER 2 YEARS FROM DATE. OF ISSUE. <br /> ::....~EROF 858 PEARL ST <br /> EUGENE OR- 97401. ~ - ~ <br /> _ ~.~.n - _ _ - - - <br /> :'AUTHORIZED SIGNATURE - <br /> e a t- e c o e e .~oe e e e• e <br /> 11'0 i89 L 6 2 211' ~:'`L 2 3 200 LO 1~: 7 3 LO 511' ~ ' <br /> <br />