MwN~ li <br />Page: 1 <br />invoice No: PWP-403403 <br />Invoice Date: 01/22/201 D <br />~ ~ Customer Number: 14746 <br />Payment Terms:. 30 Days Due Date: 42/211201 ~ <br />AMOUNT DUE. 59.10 USD <br />SEVERIN ROLYN , <br />J45G9 E 25TH AVE ~ LAUREL HILL-PEPI <br />2515 LAUREL HILL DRIVE <br />EUGENE OR X7403 <br />Line Ad' ~ PD: Net Amount <br />1 ~V1 D Plan Review & Administration gg.1 p <br />SUBTOTAL. gg,~p <br />TOTAL AMOUNT DUE : s9.~a <br />FOR QUESTIONS CONCERNING THIS INVOICE, PLEASE CALL TRACY KING AT PUBLIC WORKS <br />ENGINEERING, 541-fiS2-5291 <br />MAKE ALL CHECKS PAYABLE TO. <br />City of Eugene Financial Services <br />PO Box 19fi7 <br />Eugene, OR 91440 <br />541-fi82-5035 <br />STANDARD ~rigina3, <br />. <br />