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S <br /> CTty of Eugene -- <br /> ugeneAtat City of Fcugene ttesiik <br /> Public Works Parks and Open Space T•,--17" Public Works Parks and Open Space • -.......-.1= <br /> Eugene, <br /> 1 Roosevelt Boulevard ! 'i-820 Roosevelt Boulevard `'- <br /> .*, <br /> OR 97402 Eugene,OR 97402 . <br /> Park Reservation Receipt/ Park Reservation Receiptl <br /> Name of Event: Pay: a-\-{ g• V P"" Name of Event: I�cQ +t-l�0 Pe 7/ <br /> e �► �'�` <br /> Date(s) of Event: (o I N I b ,•• t Date(s) of Event: (o /3�(-0Park Location: I� Park Location: p-)Z-t C a yvk all • <br /> Standard Use Permit a-$15.00 ❑ $30.00 $ I S --- Standard Use Permit X15.00 ❑ $30.00 $ S• <br /> Special Use Permit ❑ $40.00 o $80.00 $ Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> ----------------------------------- <br /> ❑Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1------------------------7---__$ <br /> ❑Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ <br /> ❑Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ a Hendricks Park Shelter $ <br /> a Owen Rose Garden $ ❑ Owen Rose Garden $ <br /> ❑ Owen Rose Garden Chairs(optional) $ a Owen Rose Garden Chairs(optional) $ <br /> ❑Washington Jefferson P rk ❑Washington Jefferson Park <br /> a-Other Facility Fee I h e CP-fV.T`1 $ C95 • aOther Facility Fee ��,v�-dam 1'1 $ a S. <br /> ❑ Bike Path Walk/Run/Bike Event Fee I $ ❑ Bike Path WaIk/Run/Bike Event Fee $ <br /> — <br /> E <br /> o venAccess Permit o $10.00 0 $25.00 $ 0 Vehicle Access Permit❑ $10.00 o $25.00 $ <br /> o Event t Security Deposit $ 0 Event Security Deposit $ <br /> Fee(s) wM�e26heck# 1(0`13 ❑ Cash $ Fee(s) - -heck#i a ---7 ❑ Cash $— -~— <br /> Deposit(s) ❑ Check# o Cash $ Deposit(s) • <br /> ❑ Check# 0 Cash $ <br /> 1 <br /> Total $ 4 Total $ y0' <br /> it, <br /> ;ity of Eur 9� <br /> 'ublic Works Parks and Open Space • wily of Eugene , <br /> 820 Roosevelt Boulevard Public Works Parks and Open Space i <br /> Eugene,OR 97402 Eetigret?e 1820 Roosevelt Boulevard <br /> • <br /> Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> Jame of Event: � -, .SOS. E (', U �.(y �,{ t S V� <br /> Name of Event: <br /> )ate(s) of Event: �/ 1'-1 l Date(s) of Event: iN �� -• <br /> park Location: V Irl i V k 14� <br /> ___ _ -------77-7\ r Park Location: ('� _ <br /> ,� ti _ <br /> Standard Use Permit ra�15.00 ❑ $30.00 $ P>�i12 ccrM-_- i • <br /> Special Use Permit 0 Standard Use Permit 15.00 0 $30.00 $ 1 S <br /> --------------------------------------- <br /> --- 0 $80.00 $- --- <br /> Special Use Permit ❑ $40.00 ❑ $80.00 $ <br /> j Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 - - -- $ <br /> 0 Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ <br /> 7 AltonBaker Turf Area# $ 0 Alton Baker Turf Area# $ <br /> � Hendricks Park Shelter $ o Hendricks Park Shelter $ <br /> 3 Owen Rose Garden ❑ Owen Rose Garden $ <br /> j Owen Rose Garden with Chairs $ a Owen Rose Garden Chairs(optional) $ <br /> ❑Other ton Jefferson Park , . A CL,( $ ' . ❑W shington Jefferso , Pa�k� <br /> tether Facility Fee l '41 t �- f Yv7i�. r �(6 <br /> er Facility Fee '�' $ `7' <br /> o Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit o $10.00 0 $25.00 0 Vehicle Access Permit 0$10.00 0 $25.00 $ <br /> ❑ Event Security Deposit _-- 0 Event Security Deposit $ _ <br /> o-Cash $ �. _-----------------------_-__----------------- -; <br /> Feels) 0 Check# _mash $ `{�J <br /> ❑ Cash $ Fee(s) 0 Check# <br /> Deposit(s) ❑ Check# _= Deposit(s) 0 Check# —❑ Cash $ <br /> Total $ yTotal $ ��L— <br />