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ore~nr,De~rbn~nrof transportation <br /> ~O ~ ~ ~ PAGE N0. 1 <br /> SEEING DATE <br /> 1J 06/30/09 19.24 <br /> (COUNT N0. <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 N0./SUFFIX UNIT <br /> 73 350 CV20007853-00 9901 <br /> ACCOUNT NO • REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVf];55~3 IIIIII :IIi 844IIi0 22 1b0II5,30 2228],. SRN <br /> RVF18280 OII#~ IIi 844.x1 II 2J~: 1. 332 ~ 2II ~ : 234:?2 P <br /> R~?F1$t~2?.. aI,'.' .844:#~: ~ ~I 4I, , 32 < .234;3 P~....: <br /> RVF14386-000 O1 844010 22 318.51 ~ 23706 - EUG <br /> RVF15752-000 O1 844010 22 0.00 23750 -CON <br /> RVF15767-000 O1 844010 22 76.89 24516 - CON <br /> ; : . <br /> . <br /> . z Y <br /> . <br /> OUNT DUE '~~s~>:...~>~>~~~.::`~`-~~?~~'>` <br /> AM $ <br /> <br /> 754-1150(11-88) <br /> <br />