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City of Bugene '`,�"= <br /> Ci yof Eu"ene "� r^ <br /> ?u�lic Works Parks and Open Space '�-.,..�.- <br /> ty g raj.�, <br /> Public Vvorks Parks and Open Space Yk,:',..,�„�. 1820 Roosevelt Boulevard s.; <br /> 181+0 Roosevelt Boulevard Eugene,OR 97402 <br />'Eugne,OR 97402 <br /> Park Reservation Receipts <br /> Park Reservation Receipt r <br /> n Name of Event: Po l(ccnd Cad <br /> Name of Event: (raG� PA- — ICC F.GuJ!4-9 Date(s) of Event: b 5-l la <br /> Date(s) of Event: (c • '5• Ip <br /> Park Location: ICLe4 LU c1C5 S vl..(•fe rPark Location: klevl dikr`Gk 5 <br /> ------------------------------------- ----------- <br /> -------------"-'--- Standard Use Permit 01-15.00 ❑ $30.00 $ 15. <br /> Standard Use Permit 0115.00 0 $30.00 $ IS-. Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> Special Use Permit ❑ $40.00 ❑ $80.00 $ — ---------- <br />----------- -- ❑Alton Baker Park Shelter#1 $ <br />❑Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#2 $ <br />❑Alton Baker Park Shelter#2 $ ❑Alton Baker Turf Area# $ <br />❑Alt n Baker Turf Area# $ _ Hendricks Park Shelter $ 7S ,'' <br /> Bricks Park Shelter $ 75_ — ❑ Owen Rose Garden $ <br />❑ Owen Rose Garden $ ❑ Owen Rose Garden Chairs (optional) $ <br /> o Owen Rose Garden with Chairs $ ❑Washington Jefferson Park <br /> o Washington Jefferson Park ❑ Other Facility Fee $ <br /> o Other Facility Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br />❑ Bike Path Walk/Run/Bike Event Fee $ ❑Vehicle Access Permit 0 $10.00 ❑ $25.00 $ <br />❑Vehicle Access Permit 0 $10.00 0 $25.00 $ ❑ Event Security Deposit $ <br />❑ Event Security Deposit $ <br /> r <br /> ---------------------- Fee(s) CI'Check# t.L121 ❑ Cash $ <br /> Fee(s) ~ M e-Check# 25`10 ❑ Cash $ Deposit(s) o Check# ❑ Cash $ <br /> Deposit(s) ❑ Check# ❑ Cash $ ��. <br /> r��� Total $ <br /> Total $ <br />