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~ ,. ~ ~~. <br />', G <br />0 <br />0 <br />< <br />J <br />~ <br />: <br />? <br />e <br />a <br />~ <br />~ <br />~ <br />~~ ~ <br />Sedgwick of Oregon~ Inc. <br />ili SW Columbia <br />Portland, OR 97201 <br />~~~~a~~~ <br />D <br />MAR 2 2 1999 <br />MARIQN G4UN3'J ~JPPORT <br />SEF~VICES DEPARTMENT <br />Marion County Salem Area <br />Mass Transit <br />3150 Lancaster Dr NE <br />Salem, OR 97305-1389 <br />INVOICE NO <br />~/,~ PAGE INVOICE DATE <br />11~~ 1 OF 3/ i b/ 99 593678 <br />Sedgwick <br />GUSTOMER NO. ACCOUNT EXECUTNE <br />MA269271 145 LILLY R <br />; Pc~ooucEa <br />14~ LILLY R <br />REMIT TO: <br />Sedgwick of Oregon, Inc. <br />Portland Department 409 <br />P. ~. Box 34935 <br />Seattle, WA 98124-1935 <br />503-248-6400 <br />INSURANCE COMPANY <br />Maryland Casualty <br />NAMEINSURED <br />Marion County Salem Area <br />Builder§ Risk <br />POLICY TYPE <br />Builders Risk <br />POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE <br />ECA055829924 3/OS/99 3/01/O'1 <br />POR# Scanned <br />.Budget# <br />Object# <br />Project# <br />Date RTP Date RTF <br />Approvers Initials <br />lease pay from this invoice. Sta emen s <br />longer be sent unless requested. Thank you. <br />TERMS PREMIUMS ARE DUE AS OF THE TRANSACTION EFFECTIVE DATE OR TOTAL , <br />uPON RECEiPr oF THis iNVOicE CUSTOMER COPY AMOUNT <br />36, 808. 00 <br />accaunt will no <br />36, 808. 00 ~ ; <br />