<br /> III <br /> <br /> ~ AD - 01 ADVANCE DEPOSIT REFUND PAYMENT REMIT <br /> <br /> ~ AGENCY 73 TC 320 <br /> DOC. NO: RWB 18801 INV/DOC-DATE 05/19/08 <br /> EFFECTIVE DATE 05/19/08 <br /> VENDOR NO: 936002160-00 INVOICE NO REFUND <br /> VENDOR NAME: CITY OF EUGENE <br /> 858 PEARL ST <br /> EUGENE OR 97401 <br /> ~ REMIT ADVICE TO REFUND BALANCE OF ADVANCE DEPOSIT <br /> i <br /> UNIT EXPEND ACCOUNT SUBJOB SOURCE AGCYSRC AMOUNT <br /> i <br /> 9901 87208224 AD1 596000 $1,000.00 <br /> TOTAL REFUND 1 000.00 <br /> PREPARED BY: TTIE CARSON DATE: 05/19/08 <br /> ~ l <br /> APPROVED BY: 'b~ , DATE: C~ <br /> i <br /> PLEASE RETURN WARRANT TO: <br /> REASON FOR PAYMENT REFUND BALANCE OF ADVANCE DEPOSIT AT PROJECT <br /> CLOSE. BALANCE OF YOUR CK N0.420756, DATED <br /> 05/17/06, FOR HYDRAULIC REVIEW ON PERMIT 05M38808 <br /> HWY 001 MP 192. GJN4234 2006019086 <br /> <br />