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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space 44110k, <br /> 1820 Roosevelt Boulevard 'Nwiiii21111111or <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date <br /> From B‘rer% ke‘tv\e— nVelertn <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> Ski-C-12k PcV •PeiVit\-1,-A-4 <br /> QCLADI7 kt-'243 <br /> -, <br /> c-- <br /> TOTAL <br /> Payment: 0 Cash ENIX'fieck# .S-C-. t- • redit Card <br /> Received by <br />