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paP' AI <br /> ity of Eugene �'' City of Eugene <br /> ublic Works Parks and Open Space ,,•AAb ., <br /> Public Works Parks and Open Space , <br /> 620 Roosevelt Boulevard 1820 Roosevelt Boulevard <br /> ugene,OR 97402 1 "rt <br /> Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> mays Ok I;-I���, T. - <br /> Jame of Event: Name of Event: <br /> 'ark(L) •of Event: f b•�b '/ e f�+'S ate(s) of Event: 1 <br /> 'ark Location: _ ____ __ _-------- Park Location: <br /> Standard Use Permit o$15.00 030.00 $ 3�— <br /> Special Use Permit o $40.00 Standard Use Permit o $15.00 ❑ $30.00 $� <br /> -o $80.00 $--- r- Special Use Permit o $40.00 o $80.00 �$ _—_ - <br /> 3 Alton Baker Park Shelter-# - $ — �,Iton Baker Park Shelter#1 $�- <br /> 3 Alton Baker Park Shelter#2 $__ a-AIton Baker Park Shelter#2 $_/_0_0____i <br /> 3 Alton Baker Turf Area# — $_� r Iton Baker Turf Area#4_54..b,1 $ <br /> • Hendricks Park Shelter $� ❑ Hendricks Park Shelter $ <br /> o Owen Rose Garden $� ❑ Owen Rose Garden <br /> o Owen RoseoGarden Chairs(optional) ❑ Owen Rose Garden with Chairs $ <br /> o Washington Jefferson Park $— o Washington Jefferson Park $ <br /> o Other Facility Fee o Other Facility Fee <br /> o Bike Path Access Permit a Event Fee $ a-Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Permit o $10.00 o $25.00 $� $ <br /> $ o Vehicle Access Permit o $10.00 o $25.00 $ <br /> o Event Security Deposit ---------_--__ ❑ Event Security Deposit <br /> Fee(s) N check#3Aba ❑ Fee(s) g,C(heck# 1 y$03 ❑ Cash $ <br /> ❑ Check# o Cash $�— ❑ Cash $ <br /> Deposit(s) — Deposit(s) o Check# <br /> Total $_,1�C� <br /> Total $ 0' <br /> V <br />