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Oregon 1)epanrnent of Transportation <br /> N VQ I C E PAGE N0. 1 <br /> 7 ~ ILLING DATE <br /> 01/06/09 19:05 <br /> (COUNT 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 /> OST-CITY_OF EUGENE_PUBt3C WORKS........ <br /> LGIP ACCOUNT #4909-TAMMY SMITH ":<FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO • REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE ~ AMOUNT REMITTED REFERENCE <br /> RUFlfi57~ ::0~~:; aI:.: 84~U1a :z 22..: Z~~1,44b.~9~ ; <br /> 2095$ -->~;C~N <br /> . <br /> ~~~d~ ~`~A~{~RY ~ u <br /> . <br /> AMOUNT DUE <br /> -~'3'~... . <br /> <br /> 734-1158A(11-68) <br /> <br />