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Oregon Department of 7raruportafion 4 <br /> <br /> ~.,,~.a..o ~ ~~t~ PAGE N0. <br /> S'am`' ~ N V~ ~ C E ILLING DATE 1 <br /> Recpir/o~ ' <br /> MAY ~ 3 20p2 ,05/07/02 19:37 <br /> EPORT NO. <br /> ~G - <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 /> 4ENCY T/C CURR. DDC. DOC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> REVENUE 06ENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT D AMOUNT REMITTED REFERENCE <br /> RVF10733-000 O1 844010 22 198.85 14248-CON-E <br /> RVF10734-000 Oi 844010 23 83.80 14248-CQN-L <br /> RVF12770=000 O1 844010 22 17314 = CON <br /> RVF13016-a00 O1 844010 21 59.30 p 17483 - PE <br /> amount has. ee drawn <br /> from your cash Ad an e~Deposit. <br /> Route D to 5 / 3 Z. <br /> To: <br /> ;iob No. <br /> ~ontr No. <br /> Assess.. ~ p <br /> rap is or ~n . <br /> Signature to J O ~~oS~. <br /> ~~~~6 <br /> RECV 6 <br /> . DATE <br /> lNI~'IAL <br /> AMOUNT QUE ~ ~~a~4-''i <br /> 754-1150Af 11-001 <br /> <br />