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y . <br /> City of Eugene (City of Eugene .i'.�1's <br /> Pubf^ftrorks Parks and Open Space • <br /> Public Works Parks and Open Space r te' <br /> if ` 1820 Roosevelt Boulevard W- <br /> 1820 Roosevelt Boulevard et3e Eugene,OR 97402 <br /> Eugene,OR 97402 .: r <br /> Park Reservation Receipt Park Reservation Receipt <br /> // -- • Name of Event: �O(1�5 UV-aii <br /> Name of Event: J4 Sc�i \G. r Pi�� Date(s) of Event: ? /n• 1 <br /> Date(s) of Event: /511K /1 <br /> Park Location: Park Location: 0 Iv-4n R.G. 1- L IAcit-5 <br /> Standard Use Permit a $15.00 a $30.00 $ Standard Use Permit 2115.00 o $30.00 $ 15. <br /> Special Use Permit a $40.00 a $80.00 $ Special Use Permit a $40.00 o $80.00 $ <br /> ❑Alton Baker Park Shelter#1 $ a Alton Baker Park Shelter#1 $ <br /> a Alton Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter ,- . - $ ❑ Hendricks Park Shelter $ <br /> —en Rose Garden Lke0-Ci reE $?'7 5-. $ <br /> oOwen Rose Garden $ <br /> o Owen Rose Garden with Chairs ,�u5 $ o Owen Rose Garden Chairs(optional) <br /> o Washington Jefferson Par o Washington Jefferson Park <br /> o Other Facility Fee "7�5- $ ❑ Other Facility Fee $ <br /> a Bike Path Walk/Run/Bike Event Fed $ o Bike Path Walk/Run/Bike Event Fee $ <br /> a Vehicle Access Permit a $10.00 $25.00 $ o Vehicle Access Permit❑ $10.00 a $25.00 $ <br /> o Event Security Deposit ____ $ n $ o Event Security Deposit__________2e— <br /> ___ ___$ <br /> _ _ _-7Y1 G "-- <br /> Fee(s) o Check# a-Cash $ ,.✓1 ) i '_ Fee(s) o Check# wash $ JS ' <br /> Deposit(s) a Check a Cash $ Deposit(s) ❑ Check# ❑ Cash $ <br /> Total $/3? 5 ! Total $ JS• <br /> 14-41)aLci CIL afe• -Q-C <br /> City of Eugene <br /> Public Works Parks and Open Space r= <br /> 1820 Roosevelt Boulevard N4 <br /> Eugene,OR 97402 'f'ets_ I, <br /> Park Reservation Receipt <br /> Name of Event: <br /> Date(s)of Event: 7L�/(7 ��/�c-�2 Kee <br /> Park Location: 0 u,Le_yk. ( G� <br /> Standard Use Permit 0 $15.00 0 $30.00 $ ____ <br /> Special Use Permit o $40.00 a $80.00 $ <br /> ❑Alton Baker Park Shelter#1 ��� ~ <br /> $ ~w <br /> a Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ <br /> o ien Rose Garden $ -7S. <br /> ❑ Owen Rose Garden with Chairs $ <br /> o Washington Jefferson Park <br /> o Other Facility Fee $ <br /> o Bike Path Walk/Run/Bike Event Fee $ <br /> a Vehicle Access Permit a $10.00 0 $25.00 $ <br /> o Event Security Deposit $ <br /> Feels) o Check Check## _______ ❑.€ $-----7 <br /> Deposit(s) ❑ ❑ Cashash$ S . <br /> Total $ -7 5.' <br />