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City of Eugene <br /> Public Works Parks � <br /> Public Works Pks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682 -4800 <br /> Fax # (541) 682 -4882 <br /> RECEIPT <br /> Date .�/ 2"ic <br /> From V* V c h \,NI � el' i� F fi ( �, � Yens <br /> Address <br /> City /State /Zip <br /> Quantity Description Amount <br /> , ✓r1J /3/ 9650 - 41.57 90 -i a <br /> P774, 3y1 9 AS - u5785 `73 �0 2 <br /> 13/- 7450 u 5 78 5 <br /> TOTAL � - �S <br /> / <br /> Payment: ❑ Cash Check # Zy1 1,11 ❑ Credit Card <br /> Received by �� <br />