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City of Eugene <br />Public Works Maintenance <br />Public Works Parks and Open Space: <br />1820 Rooseveit Boulevard <br />Eugene, OR 47402 <br />Telephone # (541) 682 -4860 <br />RECEIPT <br />EUGENE <br />C��'� <br />C--V <br />Address _ <br />City/Mate /Zip <br />Q uant i ty <br />Descrip <br />Amount <br />` <br />'/V t <br />X <br />f <br />- <br />y C-) TOTAL <br />�� �fcj <br />/ C �7 <br />Internal Use <br />Payment: ❑Cash ❑Check # Credit Card <br />Received by <br />