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Qregon t?eAartm~n# of Trarsportaflcat <br /> ~ ~ PAGE N0, ~ <br /> sz~~ c A ~ <br /> 04!07/Q9 7,8:5b <br /> CggUNT Nq. <br /> BEL.OW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE TO: <br /> OREGON DEPARTMENT QF TRANSPORTATION <br /> 355 CAPITOL. STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> ~ EUGENE, CITY OF <br /> GRANT ACCT TAMMY SMITH i FOR INFORMATION CONCERNING <br /> i 858 PEARL, STREET ~ THIS INVOICE CAL. L.: <br /> ' EUGENE OR 97401 C503)98b-3879 <br /> ~ . , - . _ 3ZZff <br /> gENGY T/C CURR. pqC. [1qq. PATE VENpgR Nq./SUFFIH UNIT <br /> 73 35Q 52918 -QQ 9901 <br /> ACCOUNT NQ ~ REVENUE A6~MCY cUSTgMER L;USTQMER REV CUSTpMER <br /> SQURCE 90URCE AMOUNT AUE AMOUNT REMITTEp REFERENgE <br /> R1/F1555b-QQ0 Q1 844Q7.4 22 1,579-.4i ~ X2117 --CON <br /> RVF176~7-QQ0 Q~. 844Q1Q 21 2x:71 © 23Q76 - PE <br /> RVF18.28Q-Q00 O1 84401Q'" 21 3,475;b6 ® 23.422 PE <br /> RVF18027-QQQ Q1 844Q10 21 4,978.52 ~ 23423.. PE <br /> RVF15752-000 O1 84401Q 22 281.99 23750 -CON <br /> ~or~b.,7 O~`T ~d r,~a~ b~ 1( <br /> f'oY on ~z~d~s s~~: <br /> AMOUNT QLJ~ ~r'~•~,3 r~ <br /> <br /> ~3A-IISOA(II-84> <br /> <br />