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City of Eugene <br /> Public Works Maintenance <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 /> Date r l 1 - -2_0\4- <br /> From ik.)at foe y.( 'f <br /> Address 234P3 ( <br /> City /State /Zip E Jgf,V1 Q ())2... OJ <br /> Quantity u Description Amount <br /> i 3/ 9 6.50 _ qS 89 <br /> Q5785 g -73 :`" <br /> 341 2l / g z ya <br /> TOTAL <br /> Payment: ❑ Cash ¥Check # 1 1 39' ❑ Credit Card <br /> Received by 3t/1Q1Oci A)( <br />