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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space 4441/14 <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682-4800 g <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date //25-)1 (0 <br /> From DC }-r..--%S -Ts c- i eY'Si c.Vn <br /> Address x'-12 y, baro-ne <br /> City/State/Zip k o d;o_ �i F. 01�1 i 13 <br /> Quantity Description Amount <br /> I Palk. c c h — ra„A 4 ,o o -- <br /> TOTAL , I (ADD' <br /> Payment: ❑ Cash XCheck# 333 ❑ Credit Card <br /> Received by \(JYVtikj.‘ Dtv\lit <br /> HERTA H TSCHERSICH <br /> HANS U TSCHERSICH 3338 <br /> 1423 BARANOF PH.907-486-5648 89-7206/3252 <br /> KODIAK,AK 99615 • f f 7 // <br /> `1G 5/ 2V ( v Date <br /> Pay <br /> of to �[ t� ` <br /> $ �G�D� ._ <br /> 1. '..(t-t.{,4-1449-1A- ( !,, . 4 ; ' Dollars 2 .,.;. <br /> CREDiT 907.339-9485 <br /> 1-800-478-2222 %<,.. ! . <br /> UNION www.cul.org f -( <br /> For vh d Inn24I.f b2ttl�k °tta1h6+ti J--/T ,t 1 % L;:"& 'fir' <br /> yrs r <br /> • <br />