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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space Alt, <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 47402 <br /> Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date 4Junel IS, Vn (� <br /> From Rwne l a lrl..C�i n 5 1 Yl liL� , 11/16 <br /> Address �7 <br /> City/State/ZipejQel" 61L cl-ii Iq <br /> Quantity Description Amount <br /> I DIY,_' -- rrz 841ne,0 tyQ1 L1— �7 7c , ?J0 <br /> TOTAL <br /> Payment: ❑ Cash [A Check# ��L�-f j Credit Card C� gni dD� <br /> g 101.7104.10 Apr # o4soiD <br /> Received by ) t.(� _*'` ? <br /> 1 'IPr (011 -- 5qq .933S• 14S`15ci <br /> � 4, I�� -�t3ti•q�,5o �"�� <br /> CITU OF EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE- OR. 97402-415 <br /> 541.682-4812 � <br /> IERII[IIAL ID.I 0011340000700453220001 <br /> NERCRU 0. 700453728 �I, <br /> VISA PGARD i <br /> 0000008256 ERP:RN/kk SWIPED <br /> RECORD: 2 1111U: 000004 <br /> DATE; Jwi 15, 15 Hill: 1215 <br /> BATCH 000693 <br /> AUTN:04501D <br /> 'TOTAL $10000..00 <br /> RICHARD J SORRIC `r <br /> r' <br /> K-- ----Y----` - - <br /> I AGREE PAY A00UE--- �iOUIIT_--- � <br /> ACCORD TO CARD ISSUER AGREIEIIT <br /> HERCHAHT 05REEME4I IF CREDIT UOUCHER <br /> NIRCHARI COPY <br /> 3�-1• g335. 4s�� <br />