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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 J Cam. <br /> From ,L4 i L <br /> • i <br /> Address 1 7 c�- ( 4 [.. i r c, 61 <br /> City/State/Zip GGuS •-c 8J <br /> Quantity Description Amount <br /> g 4 f 50 --- <br /> c <br /> TOTAL 50 — <br /> Payment: sh ❑ Check # ❑ Credit Card <br /> Received by <br />