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.n.Kl+Ai;� <br /> City of Eugene r 4,-;w + <br /> Ci rof Eu9 ene ,?u'alic Works Parks and Open Space c'k ' <br /> tY <br /> Public Vvorks Parks and Open Space ® 1820 Roosevelt Boulevard dal <br /> 18:+0 Roosevelt Boulevard `: = Eugene, OR 97402 <br />'Eugtne,OR 97402 <br /> Park Reservation Receipt <br /> Park Reservation Receipt <br /> // Name of Event: fb/(tt' d 61.a. <br /> Name of Event: C'ratt �d^' — �C '� Date(s) of Event: "0- 3-44, <br /> Date(s) of Event: 69. 3• I(o Park Location: kIe dAr`ck 5 <br /> Park Location: klenct t.ick5 S �-(-kr ---------------------------------- <br /> ----- -"---- Standard Use Permit 0-$-15.00 ❑ $30.00 $ 15 <br /> Standard Use Permit 2115.00 ❑ $30.00 $/__S--____ Special Use Permit ❑$40.00 ❑ $80.00 $ <br /> Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> ------��--"- ❑Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#2 $ <br />❑Alton Baker Park Shelter#2 $ ❑Alton Baker Turf Area# $ <br /> o Alt n Baker Turf Area# $ S-. <br /> Hendricks Park Shelter $ 75 - <br /> endricks Park Shelter $ 7 S_ o Owen Rose Garden $ <br /> o Owen Rose Garden $ o Owen Rose Garden Chairs (optional) $ <br /> o Owen Rose Garden with Chairs $ ❑Washington Jefferson Park <br /> o Washington Jefferson Park ❑ Other Facility Fee $ <br />❑ Other Facility Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br />❑ Bike Path Walk/Run/Bike Event Fee $ ❑ Vehicle Access Permit❑ $10.00 ❑ $25.00 $ <br />❑Vehicle Access Permit 0 $10.00 0 $25.00 $ o Event Security Deposit $ <br />❑ Event Security Deposit $ -- <br />--------- __�_� _— ------- Fee(s) KCheck# 4.1-12el ❑ Cash $ <br /> Fee(s) e-Cfiieck# i5 (O ❑ Cash $ Deposit(s) ❑ Check# o Cash $ <br /> Deposit(s) ❑ Check# ❑ Cash $ ��, i <br /> ,�� Tota[ $ <br /> Total $ <br /> q0. I QN^ <br /> Gam''" -' <br />