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City of Eugene Public Works Maintenance 4 `=,;; Public Works Parks and Open Space '= 1820 Roosevelt Boulevard 4,r,‘1r Eugene, OR 97402 Eugene Tele # (541) 682-4800 g Fax # (541) 682-4882 RECEIPT Date 3- �i• /6 From L Address 6cW9tbut itk City/State/Zip Quantity Description Amount dl`s kU A-cce s 5 'Am (�" ,i 6 .— TOTAL lt, I Q Payment: -t Cash 0 Check# 0 Credit Card Received by Sktth "`C lit(j/ City of Eugene '- City of Eugene ,...1.1"7.72;, Public Works Parks and Open Space �� Put{lic Works Parks and Open Space + r rw. 1820 Roosevelt Boulevard ` 1820 Roosevelt Boulevard 7y- , r Eugene,OR 97402 i ''" Eugene,OR 97402 Park Reservation Receipt Park Reservation Receipt Q Name of Event: 5h 4 P Adt (,(,)Q C,nc1 Name of Event: 54tt .d ff r &&5 I�ed t- Date(s) of Event: /. IDate(s) of Event: 5-6 - 1 Co S Park Location: 1.�•Q, 414;Gk s =ark Location: Al-e4n�hit 5---- — Standard Use Permit 15.00 o $30.00 $ 15% Standard Use Permit❑15.00 o $30.00 $ 15. Special Use Permit o $40.00 o $80.00 $ Special Use Permit o $40.00 o $80.00 $ ❑Alton Baker Park Shelter#1 $ 3 Alton Baker Park Shelter#1 $ o Alton Baker Park Shelter#2 $ 3 Alton Baker Park Shelter#2 $ o Aler�t n Baker Turf Area# $ 3 Ajton Baker Turf Area# $ c4iendricks Park Shelter $ 7S. - a'-llendricks Park Shelter $ 1'5 ❑ Owen Rose Garden $ 3 Owen Rose Garden $ o Owen Rose Garden with Chairs $ 3 Owen Rose Garden with Chairs $ o Washington Jefferson Park 1 Washington Jefferson Park o Other Facility Fee $ i Other Facility Fee $ o Bike Path Walk/Run/Bike Event Fee $ ' Bike Path Walk/Run/Bike Event Fee $ o Vehicle Access Permit o $10.00 o $25.00 $ i Vehicle Access Permit o $10.00 o $25.00 $ o Event Security Deposit $ 1 Event Security Deposit $Fee(s) a-Check# o Cash $ ee(s) heck# 9.0 8-3 o Cash $ 10. Deposit(s) o Check# o Cash $ )eposit(s) o Check# o Cash $ 1/5 L- Total $ r v. Total $ ` V.