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Lane County Public Works Department <br />Remit To: Lane County Public Works In voice <br />3040 North Delta Hwy <br />Eugene, OR 97408 <br />Bate Invoice # <br />Bill To: <br />City of Eugene <br />Public Works Engineering <br />Jeanne Oakes <br />99 E Broadway, Suite 400 <br />Eugene, OR 97401 <br />L e1Z RC�CT( 9 t►� �GtC.� <br />Total $ 1 ,830.73 <br />Payments /Credits $0.00 <br />SC ANNED Balance Due $1 ,830.73 <br />Prepared by <br />10/14/2011 <br />3746 <br />Total $ 1 ,830.73 <br />Payments /Credits $0.00 <br />SC ANNED Balance Due $1 ,830.73 <br />Prepared by <br />Phone <br />Contract # <br />Terms <br />Cheri Goodgion <br />541 - 682 -6916 <br />Due on receipt <br />Item <br />Description <br />Amount <br />Materials Testing Services / � <br />a 0 1� b 0 a <br />PBM I8th Ave (468 1) y/ V <br />August 2011 k,/ <br />466662 <br />Material Field Work �j <br />1,830.73 <br />Contract # PWO9071301 <br />City # 2010 -00202 I 3 3 — 1 -7 _q v 5 L. q <br />term: 7/1/09 to 6/30/12 <br />NTE $300,000 Route Date <br />Amend # I -new NTE $800,000 <br />To: 1.,\ JEF F V- -- <br />Job No. <br />Contr. No. <br />Assessabie? YES or NO <br />I ap ove thi for ayrnent. <br />gnature D <br />1l- -- <br />Total $ 1 ,830.73 <br />Payments /Credits $0.00 <br />SC ANNED Balance Due $1 ,830.73 <br />