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~~i-egon~Department of Transportation <br /> FISCAL YEAR REMITTANCE ADVICE <br /> OS CHECK NO = 01841490 PAGE 1 OF 1 <br /> INV/CM DATE INV/CREDIT MEMO NO NET AMOUNT DESCRIPTION <br /> - x..1/13/07 111307 302.13 <br /> R QUESTIONS ON THE PRECEDING INVOICE(S) CALL RODRIGUEZ, SHELLEE, 503-986-3558 <br /> <br /> 1 <br /> j <br /> j <br /> I <br /> , <br /> ~ zz~ <br /> i <br /> 1~r~3~ - 9~ ~ ~sz. <br /> ~ <br /> i <br /> 4 <br /> f ~ <br /> ~ _ <br /> j <br /> f <br /> I <br /> 4 <br /> FOLD ON PERFORATION LINE BELOW D. BEFORE®~~IENT $302.13 <br /> ~,.q m. e a e+ u a Vl - , . e `.a ~ ~ ,-I L ~dei'~....~.,. <br /> Oregon}Department of Transportation TO TNT 8TATE 'TREASURER 96_,6 O 1841490 <br /> ' F4NANCIAL SERVICES` SALEM ORE60N 97301 1232 t <br /> 9 355 CAPITOL ST NE ROOM 434 , <br /> ' SALEM OREGON 97301-3872 ODOT DATE 11/20/07: , <br /> 503-986-3900 ~ <br /> ~ AMOUNT IN US DOLLARS <br /> ~ ACCOUNT 73105302.13 <br /> r ~a <br /> PAY THREE ::HUNDRED TWO AND 13/100 DOLLARS <br /> ~ ~ <br /> ~ ~ ~ TO THE EUGENE, .CITY QF V01 AFTER. 2 YEARS FROM OATE.OF-ISSUE <br /> ~ ER OF GRANT ACCT TAMMY SMITH <br /> <br /> i ~ 858 REARL STREET ~ ~ <br /> ' EUGE'E OR 97401 <br /> I <br /> l _.n . _ <br /> ~ H, _ _ - ORI2ED SIG E <br /> n m° ~ ~ AUTH NA~UR~ <br /> n¦? 18 4 L 4 qOu¦ 1 2 3 200 LO L~: 7 3 L0 511' <br /> <br />