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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 /> GI RECEIPT <br /> Date `L 1,1 <br /> From <br /> Address `� �0 l�C( - 7 t� <br /> City /State /zip pvi rLtr&z) O/2- g7 <br /> 54i 1 -- 71- 11• - Zkot) <br /> Quantity Description Amount <br /> \ 2N <br /> 3 / S d f9 2 `� <br /> fer 1 - g335 L$7 .e? 11 '3�� <br /> TOTA 2 <br /> • <br /> � lY( <br /> Payment: .sh • heck # redit , rd <br /> Received by <br />