\ _ <br /> Oregon Department of Transportation - <br /> FISCAL YEAR REMITTANCE ADVICE <br /> 09 CHECK NO = 01968024 PAGE-1 OF 1 <br /> INV/CM DATE INV/CREDIT MEMO NO NET AMOUNT DESCRIPTION <br /> 02/26/09 022609 925.02 TO REFUND,BALANCE`OF ADVANCE DEPOSIT <br /> FOR QUESTIONS ON THE PRECEDING INVOICE(S) CALL VEHICLE PROCESSING FOUR, 503-986-3558 <br /> ~~a~~ ®r~ ~~~~®aa~~~®~r ~~~,®w ~L~®T~T~I~IMENT <br /> $925.02 _ <br /> Oregon Department of Transportation To THE STATE TREASURER - 98-,D ©19~8Q24 <br /> FINANCIAL. SERVICES SALEM OREGON .97301 ,232 <br /> 355 CAPITOL ST >NE ROOM 434PAYABLE THROUGH US BANK <br /> SALEM OREGON 97301-3872 ODOT DATE ~~'02/26/09 <br /> 503-986-3900 <br /> \ - AMOUNT `IN US DOLLARS , <br /> ACCOUNT 73105925.02 <br /> PAYNINE~HUNDRED TWENTY FIVE AND 02/100 DOLLARS <br /> i <br /> <br /> PAY TO THE EUGENE, CITY OF VOID AFTER 2 YEARS FROM DATE OF ISSUE <br /> ORDER OF GRANT ACCT TAMMY SMITH <br /> 858 PEARL STREET ~ <br /> EUGENE OR 97401 <br /> AUTHORIZED SIGNATURE <br /> 11'0 i 9 680 2 411'. 1 2 3 20030 i~: 7 3 L0 511' <br /> <br />