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OrEgorr Department of Transportation <br /> ~ ~ ~ PAGE N0. 1 <br /> 7 ~ v ILLING DATE <br /> 10/06/09 19:01 <br /> ACCOUNT 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. DOG. DOG. DATE VENDOR NO./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 /> R:V~1$280;000 01;:..$44018 547.4 23422 pE <br /> RVF16I,~0-Ofl0 O1 ' 844$J;0 22 ..8.,864 ;~Q.. ,s 23422 - GQN <br /> ;.RVF~~3.07 000 01 844Q7.II 22:. l~v'Y ~ `T.~ 23+23 ,COIJ.: <br /> RVF14386-000 O1 844010 22 244.22 ~ 23706 - EUG <br /> RVF15767-000 O1 844010 22 371.53 24516 - CON <br /> C w~ <br /> ~®u~ cash A~v~n ~~o~t~ <br /> AMOUNT DU - - - <br /> E <br /> <br /> 734-1150AC31-88) <br /> <br />