OrEgon Department of Transportation <br /> n ~ e'~ ~ ~ ~ PA6E NO . 1 <br /> v v BILLING 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 /> GENCV T/C CURR. DOC. DOC. 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 /> RVF~8280-GOD Ol : $44fl).~_ 21 . 547 .':45 23422 ;:.;:-.:PE' <br /> RVF].610-000 fll 84401fl 22 : 8,864..9 ~ 23422 ':CON <br /> fl~...:, 84~}O~V. ;'~`~z::i:>Y:~i`:2:~~'~~ .1 ~~~.l~~n:~ '.f:::~:~:~~' ~v~~~.~ ...:CON ..:i <br /> RVF14386-000 O1 844010 22 244.22 ~ 23706 - EUG <br /> RVF15767-000 O1 844010 22 371.53 24516 - CON <br /> - ;:>r::...: <br /> > . , <br /> m y®u~ cash A~var~ ~R#~ <br /> AMOUNT D - <br /> UE <br /> - <br /> <br /> 754-1150AC11-88) <br /> <br />