City of Eugene <br /> Publ Wor Pa en 4.141\ <br /> Public Works Parks ks and d 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 <br /> From -_ 0 (,O«tc, jam <br /> Address <br /> City /State /Zip <br /> Quantity Description Amount <br /> ��e r OVV2A 1`n \kl r� �. (Alnfi2LOD \ 2 ZS, 2 <br /> TOTAL ' 2 g� ,2 0D <br /> Payment: ❑ Cash sakheck # ,3(p c 22\ ❑ Cre•• - • <br /> Received by <br />