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Oregon Department of Transpo~tahon <br /> I ~ ~O ~ ~ C ~ PAGE NO. _1 <br /> 7 G ILLING DATE <br /> • 08/04/09 18:56 <br /> CCDUNT NO. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> EUGENE, CITY OF <br /> GRANT ACCT TAMMY SMITH FOR INFORMATION CONCERNING <br /> 101 E BROADWAY SUITE 400 THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 CV20007853-00 9901 <br /> ACCOUNT NO . REVENUE ABENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> IVF1.~5G3-00#i ..Ql,>~ 84;4~~.~.:.::..~2.::.: ;.::.::.:.457b~ >:2~2$J.. ,.:<CON...:: <br /> RVF3.8280.. OII#1..;g1" . 844~~.0. , 27:.::::::.:<::.;::::;:::>:>;;;::::: ~,.12.OQ 234~2....:.....P~ . <br /> . <br /> RVF~,80~T ~~0.... ~~::::::::844a~~ 27, ~~.t:kd......... 23423 pE... <br /> RVF14386-000 O1 844010 22 31.49 ® 23706 - EUG <br /> RVF15752-000 O1 844010 22 8-:0~0" ~~~,~..~,L3 } 23750 - CON <br /> RVF15767-000 O1 844010 22 76.89 0 24516 - CON <br /> amount has bee dr wn~, <br /> o. <br /> ; <br /> _ <br /> AMOUNT DUE - _ _ _ <br /> ::::..t` <br /> "g"""""".~:~:~::~::~::~:::~: <br /> <br /> 734-1150AC11-88) <br /> <br />