City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space 14"alik <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682 -4800 <br /> Fax # (541) 682 -4882 <br /> RECEIPT <br /> Date i 2 3 !� <br /> From /4- ' /! 6.. 101,74-- <br /> Address I& C " 5 7 r 6 . y <br /> C ity /State /Zip rt / 5/111T $'(' 2 9 U 641 <br /> Quantity Description Amount <br /> ge( rOv 0 ffivir Ofriren zo <br /> dIgit 7c <br /> /4e, /3 / -q so- L/S 2 <br /> TOTAL / U <br /> Payment: ❑ Cash /Check # QC 3 ❑ Credit Card <br /> til !Ka /YOU err <br /> Received by <br />