<br /> . Oregon Department of Tr,~?sportation C!.` ~ ~ ICJ <br /> N Va I C E PAGE N0. 1 <br /> ILLING DATE <br /> 11/05/02 20:05 <br /> ACCOUNT N0. <br /> 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 /> EUGENE, CITY OF <br /> GRANT ACCT PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCV TIC CORR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF10733-000 O1 844010 22 11.33 14248-CON-E <br /> RVF12770-000 O1 844010 22 119.64 ~ 17314 - CON <br /> RVF13016-000 O1- 844010 21 79.33 S 17483 - PE <br /> •~his amaunt ~a~ ~ ~r~ raver <br /> Pram your case ~d~v nc 7epcsit. <br /> AMOUNT DUE t~2~6.-3$"' //t~>:3 <br /> IS4-115UA(11-80) <br /> <br />