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I , Lane County Pu blic Works Department <br />Remit To: Lane County Public Works <br />3040 North Delta Hwy <br />Eugene, OR 97408 <br />Bill To <br />City of Eugene <br />Public Works Engineering <br />Jeanne Oakes <br />99 E Broadway, Suite 400 <br />Eugene, OR 97401 <br />Invoice <br />Date <br />Invoice # <br />11/7/2011 <br />3792 <br />DO : ao ►a -�o�J � �"� <br />Prepared by Phone Contract # Terms <br />Cheri Goodgion 541 - 682 -6916 Due on receipt <br />Item Description Amount <br />Materials Testing Services <br />PBM Alder Street (4682) <br />September 2011 <br />166662 Material Lab Fees 2,680.00 <br />Contract # PW09071301 <br />City # 2010 -00202 <br />term: 7/1/09 to 6/30/12 <br />NTE $300,000 <br />Amend #I -new NTE $800,000 <br />173 - q o V54 <br />Route Date <br />To: JAsoN _) Jo��Ary►v�S <br />Job No. 2 _ <br />Contr. No. goll OI S <br />Assessable? YES or <br />I approve t is for payment. <br />Signature Da e: it — 0 1 3 — 1 1 <br />SCANNED <br />Total $2,680.00 <br />Payments /Credits $0.00 <br />Balance Due $2,680.00 <br />NOV 0 8 2011 <br />