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City of Eugene <br /> Public Works Maintenance y, <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 JA-L, X015 <br /> From b-i Fact -h (- alityvo <br /> Address 1412 U c-olr. ESP 4 <br /> City /State /Zip c,tkr-e , 014z.- 111/0/ <br /> Quantity Description Amount <br /> TOTAL /0 <br /> Payment: I2-6sh ❑ Check # ❑ Credit Card <br /> Received by % 2 <br />