Oregon Department of Transportation <br />PAGE NO. <br />INVOICE SEEING DATE <br />06/01/10 18:43 <br />CCOUNT NO. <br />SEE BELOW <br />TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE TO: <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)986-3224 <br />AGENCY <br />T/C <br />CURR. DOC. <br />DOC. DATE <br />VENDOR N0./SUFFIX <br />UNIT <br />73 <br />350 <br />CV20007853-00 <br />9901 <br />ACCOUNT NO. <br />REVENUE <br />SOURCE <br />AGENCY <br />SOURCE <br />CUSTOMER <br />AMOUNT DUE <br />CUSTOMER <br />AMOUNT REMITTED <br />REV <br />CUSTOMER <br />REFERENCE <br />RVF16228 8a0 07 <br />844010 <br />22 <br />fib.. <br />~ <br />23#176 - CON;.. <br />R01:71100-:040: :01. <br />84401:0: <br />23 <br />19.02 <br />ldo <br />2.3 9 <br />RVF16110-00 :01. <br />844010 <br />22 <br />10>.40 <br />23422 :CON <br />RVF16107-000 01 <br />844010 <br />22 <br />723.91 <br />23423 - CON <br />RVF15767-000 01 <br />844010 <br />22 <br />51.86 <br />24516 - CON <br />754 <br />0M y f cash vs <br />a <br />®p t. <br />AMOUNT DUE <br />i 1 <br />. <br />$88.: _ <br />. . <br />734-11SOA(31-88) <br />