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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 c <br /> From # r71 r, �0 Atilt h[Lh 6 -cal. <br /> Address 1G (3 ('l, 5. <br /> City/State/Zip �(.A.,i R O T7 - O <br /> Quantity Description Amount <br /> TOTAL <br /> c2 0 <br /> Payment: 12Ktash ❑ Check # ❑ Credit Card <br /> Received by c`.%(_- <br />