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y <br /> City of Eugenec. City of Eugene ' <br /> 'Public Works Parks and Open Space ,,',.-7----1Fublic Works Parks and Open Space 44016.. <br /> 1820 Roosevelt Boulevard ` 1820 Roosevelt Boulevard <br /> Eugene,OR 97402 <br /> Eugene,OR 97402 tirt <br /> Park Reservation Receipt /� Park Reservation Receipt <br /> Name of Event: <br /> Dr an �Xpc ail nrcrirZ Name of Event: A ._t� 1�5 ELI/ I <br /> Date(s) of Event: pl l Date(s) of Event: • 5. I / <br /> Park Location: Park Location: 4. 6. -$ I <br /> Standard Use Permit-$15.00 ❑ $30.00 $ /S' Standard Use Permit 5.00 ❑ $30.00 $ )5. <br /> Special Use Permit ❑ $40.00 ❑ $80.00 $_--_-- Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> ----------------- <br /> ;yA1ton Baker Park Shelter#1 $ / 3 S • <br /> o Alton Baker Park Shelter#2 $________ 2-Aft-on Baker Park Shelter#1 $I 35. <br /> ❑Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ <br /> ❑ Hendricks Park Shelter $________ ❑Alton Baker Turf Area# $❑ Owen Rose Garden $_______ ❑ Hendricks Park Shelter $ <br /> o Owen Rose Garden $ <br /> ❑ Owen Rose Garden Chairs (optional) $--. <br /> ❑ Owen Rose Garden Chairs(optional) $ <br /> ❑Washington Jefferson Park $ ❑Washington Jefferson Park <br /> ❑ Other Facility Fee ❑ Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $________ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit❑ $10.00 0 $25.00 ❑Vehicle Access Permit❑ $10.00 ❑ $25.00 $ <br /> ❑ Event Security Deposit -------- ❑ Event Security Deposit $ <br /> Fee(s) e-Check# OP ❑ Cash $_________ <br /> Fee(s) check# I I6 ❑ Cash $ <br /> Deposit(s) ❑ Check# ❑ Cash $ Deposit(s) ID Check# ❑ Cash $ <br /> Total $ S �' Total $_/ <br /> t > <br /> • City of Eugene . City of Eugene ge,YKAVA,{1 -5 <br /> Public Works Parks and Open Space x..7.......1111WPublic Works Parks and Open Space Q qI• :�� <br /> 1820 Roosevelt Boulevard 404.. Public <br /> Roosevelt Boulevard + ,*:=" <br /> Eugene,OR 97402 Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> Name of Event: 0arrer, d ���'^� j�QS Name of Event: losls 'tJ� <br /> Date(s) of Event: 7. Q3• /to Date(s) of Event: ]. 30.1 to <br /> Park Location: prd,.Zil p• . Park Location: _«-b-w-t vi 2.�� <br /> Standard Use Permit❑ $15.00 ❑ $30.00 $ Standard Use Permit❑ $15.00 ❑ $30.00 $ <br /> Special Use Permit ❑ $40.00 ❑ $80N00 _ $ - Special Use Permit ❑ $40.00 0 $80.00 $ <br /> - - - <br /> ❑Alton Baker Park Shelter#1 $ 0 Alton Baker Park Shelter#1 $ <br /> ❑Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> ❑ Hendricks Park Shelter $ o Hendricks Park Shelter $ <br /> ❑ Qwen Rose Garden a-0-wen Rose Garden $ 7 S <br /> Owen Rose Garden Chairs (optional) $ yl) ❑ Owen Rose Garden Chairs (optional) $ <br /> ❑Washington Jefferson Park $ ❑Washington Jefferson Park <br /> ❑ Other Facility Fee ❑ Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit❑ $10.00 0 $25.00 $ ❑Vehicle Access Permit❑$10.00 ❑ $25.00 $ <br /> ❑ Event Security Deposit -� _- _- <br /> Fee(s) ❑ Check# <br /> o Event Security Deposit $ <br /> ____- ~ -^ ❑ Cash $ 40.-- -------- <br /> Fee(s) <br /> o6eck# 55a-❑ Cash $ <br /> Deposit(s) 0 Check# ❑ Cash $ Deposit(s) ❑ Check# ❑Cash $ <br /> Total $ IP (--Total $ -7,.) / <br />