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HomeMy WebLinkAboutSpecial Inspection Miscellaneous 1985-4-2 STATEMENT ~t~ I '., ~'. CI'I Y 'OF SPRINGFIELD 225 North !>l-h Street ~~~~~ 03414 r Oregon Department of Energy Room 102 Labor and Industries Building Salem, Oregon 97310 L . ATTENTION FISCAL OFFICE SPRINGFIELD, OREGON 97477 r 'iYO~.-;'? "\ ./ l'5ClZn ~ '6'.>05b/ .f/ i:.").lt '0 o ,. D~ymp-nt fn~ rnmr'~+;n~r~r~;~n Chp.~kl;~+ Payment for 2 additional site visits @ $30.00 per visit lli nn $60.00 ~ ~~ 1hYtLL- ~ tv~ ~. #- r/- 4rlr: II Please mail payment in enclosed envelope for proper / ,.""prlit' . 'thAn'lr vnn" . It"t) f/ f\ ~}).ur<-- ~\~~ r~ \~~~ v./ V \ u \ . I I I I I I I I I TOTAL ~ $80.00 ,HESE: C!1.\HGES :->HOUlO 3E:. f,:::VIr:~.'i::I) I: JI\i\EUIA I!::L Y ;'.I'JD t'Ayr.11ENf MADE Fr~m"l TI-11.;; S fA TEfI,lENT REFER TO AILLI~JG ;t .....DOVE WHt:N r,,;AKj~J(: PAYMENT TI~",NK Yell. OFFICE CCpy <II ", ". . '" ;:") . ~.: .: . " fiiISl'~~I:~J~~~rilJiil~li~r~ffi~Ji;j~~ . , ..... ' . ',-:::;:':~~:-';..;. ~ '.~~ .'.....r. .,>...... . ' ,'; .. .::'" : ~ ': ~ .' >.' ," :';" . .. . .- " ... , . . .' .'... .",. ' . '" .. .~ .:,' .'.,... .~-. , . :.. . ...... ,.. " . .' . .'-: ::.:....... . . ;:>.~:,\i~~,f-\:~\i;\ii~,#.~~.;:~~~~;hf:~N,1i.~;,;~f:;~L:~~\ii~~(:;,::~j;i~;;~i,iJ4}~~k~~~b.:~:;,:;t;~;:\!?'?,;f.{,~;:;i~:f;;~~;.:~;\q;~:~~7;'~..l.~~~':i;k~i.iii';~jpf;,~~;~\