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City of Eugene <br /> Public Works Maintenance 0,40ei Y <br /> Public Works Parks 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 /> t <br /> Date 7 -3 �� , ( • • <br /> From <br /> Address <br /> City /State /Zip <br /> •uantit Descri•tion <br /> Amount <br /> r tq - <br /> CG <br /> I <br /> TOTAL <br /> Payment: <br /> Cash ❑ Check # ❑ Credit Card <br /> Received by � - / <br /> Mogul Mountain Pizza <br /> 68218 E Hwy 26 <br /> Vetches, OR 97067 <br /> 503- 622 -6341 <br /> SALE <br /> Server #: 123456 <br /> MID: 9696 Store: 0 Term: 1 001 <br /> REF #: 0000u005 <br /> Batch #: 021 RRN: 418902124915 <br /> 07/07/14 19:03:06 <br /> Trans ID: 0707MCPPEHQFD <br /> APPR CODE: 091381 <br /> MASTERCARD Swiped <br /> AMOUNT $28.0 <br /> TIP $ <br /> TOTAL $ <br /> APPROVED <br /> THANK. YOU <br /> CUSTOMER COPY <br />