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MAUDE'!:'KERNS ART'CENTER <br />E`15TH'AVE.: `PH, 541. 345 -1571 T 7 59 <br />EWENE ;' OR 97403-2007 <br />Ord f <br />oa <br />. ' I NATU S REQUIRED <br />J 600•Sf17r78� � <br />T S hr <br />-- - - -- -- - - -- -- -- -- -- <br />f�'r�?�;;4so��,�,;.so is 8 0112 059 i <br />L \ /. `, .:\ J - +. GUARDIWO SAFETY BLUE WBL <br />City of Eugene <br />Public Works Maintenance <br />Public Works Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIPT <br />Date 1 D I1 (-, 1 0 -G <br />City/State /Zip <br />EUGENE <br />uanti <br />Internal Use <br />Payment: <br />Received by, <br />G <br />❑Cas4Check # 1 ❑Credit <br />Description <br />Amount <br />TOTAL <br />�1 <br />.mss. C� <br />Internal Use <br />Payment: <br />Received by, <br />G <br />❑Cas4Check # 1 ❑Credit <br />