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City of Eugene <br /> Public Works Maintenance WAIL <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 /> � <br /> j RECEIPT <br /> Date `l � ( <br /> ( clf'G Yrp,, <br /> Address <br /> City /State /Zip <br /> Quantity Description Amount <br /> C, rc €Z <br /> 4.57s <br /> TOTAL ,- f <br /> `J <br /> Payment: ❑ Cash g'Gheck # Ct Q Credit Card <br /> Received by �� <br />