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Oregon Departm~nf of Transporfafion <br /> ' ~ ~ ~ C PAGE N0. 1 <br /> L ILIING DATE <br /> 02/06/07 19:21 <br /> CCOUNT N0. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WIJH 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 TAMMY. SMITH i FOR INFORMATION CONCERNING <br /> 858 PEARL STREET I THIS INVOICE CALL: <br /> EUGENE OR 47401 (503)986-3879 <br /> i <br /> GENCY T/C CORR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF17543-000 Q1 844O1Q 21 3.41 22117 - pE <br /> RVE17271-000 O1 844Q1Q 21 136.7Q 22213 PE <br /> RVF17756-000 Q1 844Q10 23 25.82 22281 - P:E <br /> RUF17617-000 O1 844010 21 5.85 ~ 23076 - PE <br /> AMOUNT DUE _ . 8$ <br /> <br /> 134-1150AC11-88) ~ . <br /> <br />