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Eugenea <br /> • <br /> C/ r City of Eugene <br /> .City of Ar',4��e <br /> Public Works Parks and Open Space( Public Works Parks and Open Space '-, <br /> � h � 1820 Roosevelt Boulevard <br /> 1820 Roosevelt Boulevard "" " <br /> Eugene,OR 97402 Eugene,OR 97402 <br /> Park Reservation Receipt f/ Park Reservation Receipt <br /> • ('�i • <br /> :5 iLINYh( 1 r��ur� i al"lctc <br /> Name of Event: - I 1 c ' Name of Event: �3,G(,-�a�r /�'t2� <br /> Date(s) of Event: -7/.1-.2 u I - . Date(s) of Event: S• 1.14 <br /> IL <br /> i �r1nu1 ,,+' mi-t- k k 01 fm Park Location: S(a --- <br /> Park Location: --____-- — --_--_---- --_ M_�_r— <br /> ------ <br /> ---- <br /> Standard Use Permit a $15.00 a $30.00 $ Li G�. _ Standard Use Permit❑ $15.00 ❑ $ 0.00 $ <br /> Special Use Permit c3' 40.00 o $80.00M$ _�_ Special Use Permit a $40.00-0180.00 $ •–.-- <br /> -_—_—_—_---- <br /> _____--__ <br /> �- <br /> _p _ ------- ------------ -- <br /> a Alton Baker Park Shelter#1 $ a Alton Baker Park Shelter#1 $ <br /> 0 Alton Baker Park Shelter#2 $ a Alton Baker Park Shelter#2 $ <br /> a Alton Baker Turf Area# $ a Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $_________ o Hendricks Park Shelter $ <br /> o Owen Rose Garden $ 0 Owen Rose Garden $ <br /> o Owen Rose Garden Chairs(optional) $ a Owen Rose Garden with Chairs $ <br /> a Washington Jefferson Park a Washington Jefferson Park <br /> a Other Facility Fee $ a Other Facility Fee $ <br /> mike Path Walk/Run/Bike Event Fee $ �S, _ a Bike Path Walk/Run/Bike Event Fee $ <br /> o Vehicle Access Permit o$10.00 ❑ $25.00 $ o Vehicle Access Permit❑ $10.00 a $25.00 $ <br /> o Event Security Deposit --- $________ a Event Security Deposit---------------- <br /> eposit–� $ <br /> '—_— c-- ❑ Cash $ FeeoCheck# b S r k ❑ Cash $ <br /> Fee(s) 0-Check# 3 ; (s) <br /> Deposit(s) o Check# _❑ Cash $ Deposit(s) o Check# a Cash $ <br /> L1 L.' / <br /> ,(i i, ljt Total $ � ' 5 — Total $ d ". <br /> � huh � � . Ra..uA-b L' <br /> _ __.7.411111111141 <br /> .City of Eugene i`Q19 U/' " � � � <br /> City• of Eugene �\ �� <br /> Public Works Parks and Open Space -•, Public Works Parks and Open Spa Z � .� <br /> p `"0"" 1820 Roosevelt Boulevard (��G ?- <br /> 1820 Roosevelt Boulevard ,,,,, -, <br /> Eugene,OR 97402 .- Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt / �,,2� <br /> Name of Event: kk, Name of Event: jam:64. 1 L1Le k l AA�.Q ( 3 2 l24c« <br /> +rift <br /> 5i ��""`! Date(s)of Event: `' 7-/2�//!LDates) of Event: (./• Park Location: � 4 k(A CEP �� Park Location: i<i 4J. U-.L.: 7raL 1- Sys-k('` <br /> Standard Use Permit 0-$15.00 0$30.00 $ l----S------- Standard Use Permit o $15.00 0 $30.00 $ <br /> Special Use Permit a$40.00 a$80.00 $ Special Use Permit x$40.00 0 $80.00 $440 <br /> a Alton Baker Park Shelter#1 $ – ❑Alton Baker Park Shelter#1 $ • <br /> 0 Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 - $ <br /> 0 Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> 0 Hendricks Park Shelter $ a Hendricks Park Shelter $ <br /> 0 Owen Rose Gardeno Owen Rose Garden $ <br /> $ <br /> o Owen Rose Garden Chairs(optional) $ o Owen Rose Garden Chairs(optional) $ <br /> ❑Washington Jefferson Pa a Washington Jefferson Park <br /> Other Facility Fee l�2� 671,‘M $ �S, a Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ afke Path Walk/Run/Bike Event Fee $ 7 5" C 0 <br /> o Vehicle Access Permit 0 $10.00 0 $25.00 $ a Vehicle Access Permit o $10.00 a $25.00 $ <br /> o Event Security Deposit $ o Event Security Deposit $ <br /> Fee(s) eck# 1a 5______�Cash $ 4•j o Fee(s) a'Check# S T o Cash $ <br /> Deposit(s) ❑ Check# a Cash $ Deposit(s) o Check# a Cash $ <br /> 1iCcc, <br /> . Total $ `10,� Check 1N k (so Ii Total $ J <br /> . ,<)r "T,cip 0414)s <br />