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Oregon Department of Transportation <br />7[r INVOICE PAGE N0. 1 <br />BILLING DATE <br />03/06/12 18:46 <br />ACCOUNT 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 />3930 FAIRVIEW INDUSTRIAL DRIVE SE, MS #1 <br />SALEM OR 97302 -1166 <br />EUGENE CITY OF <br />GRANT ACCT TAMMY SMITH <br />101 E BROADWAY SUITE 400 <br />EUGENE OR 97401 <br />. DATE <br />FOR INFORMATION CONCERNING <br />THIS INVOICE CALL: <br />(503)986 -3224 <br />73 <br />1350 <br />1 <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 />RVFAUS5 .O00: <br />44:0 ;.;; <br />:::. <br />R,F.l, . <br />..3. <br />23706.:: <br />RVFl9g58 -Ub <br />O1 <br />844:IIi0 <br />21 <br />> <br />>: 3,33.55 . . < <br />26725 <br />RVF20564 -000 <br />01 <br />844010 <br />21 <br />195.01 <br />26818 <br />PE <br />RVF19996 -000 <br />01 <br />844010 <br />21 <br />242.98 <br />26858 <br />PE <br />AMOUNT DUE <br />