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C~egonDE~larhnE~rlt ofTransportation J ~ ~ ~ <br /> I ~ ~O ' ~ ~ PAGE N0. i <br /> 7~ ILINDDAE . <br /> 08/05/03 20.55 <br /> (COUNT N0. <br /> <br /> y~ 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 /> rEUGENE, CITY OF <br /> GRANT ACCT PEGGY HAMLIN i FOR INFORMATION CONCERNING <br /> X858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 ~ (503)986-3879 <br /> ~ _ -_J <br /> NCV T/C CURR. DOC. DOG. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ~CENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOVURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> ;RVFi,4128-00o Ol 84401A 22: _ 55.76 14248-CON-E <br /> . RVFi301b-0a0 al , $4,4010 ~i , 545.42 1.7483.: = PE= <br /> i <br /> AMOUNT DUE $~..s.~... ~8 <br /> ri~-115o~ci1-td~ <br /> <br />