• 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 /> I� RECEIPT <br /> Date 5 J k 7 �. S <br /> From v✓ cOY eVodt,vvVi (�1 <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> Chu 2)2)1 s - o ll s E L VIS <br /> s \f 4 e- - ‘{AitiAtt,- Cte oWc6 <br /> TOTAL 1 , <br /> Payment: ❑ Cash Lieck # { ❑ -dit Card <br /> Received by �i _ <br />