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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 /> RECEIPT <br /> Date <br /> :3(z3( 15 <br /> From , eo ' L � wt.)0 9 ,✓ (.4) - <br /> Address <br /> City /State /Zip <br /> Quantity Description Amount <br /> ' \ - "Neiz-- 2o 'i 3 .Vo <br /> d d 3141 335 r 4 $ <br /> TOTAL <br /> Zc>,t3 <br /> Payment: ❑ Cash f9'Gheck # ��� ❑ - - • • - d <br /> Received by �� <br />