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City of Eugene ;. � Public Works Parks and Open Space f:::.- 0,t City of Eugene r 1820 Roosevelt Boulevard :' Public Works Parks and Open Space Eugene,OR 97402 1820 Roosevelt Boulevard EPijer . Eugene,OR 97402 Park Reservation Receipt Park Reservation Receipt Name of Event: ' S �ad � Name of Event: fen ca.M 6-mi CI. Date(s) of Event: �� sof Event: /i I i/ Park Location: A-6 t I1 r•e Date( ) 111 Park Location: A 1 6 ' r ice Standard Use Permit 15.00 ❑ $30.00 $15_,___':_r_ -------------------------------'"------__N_ Special Use Permit o $40.00 ❑ $80.00 –$ Standard Use Permit 0115.00 ❑ $30.00 $ IS. _--__–___ ____— Special Use Permit o $40.00 o $80.00 $ o Alton Baker Park Shelter#1 $ _ –----------------- . ❑Alton Baker Park Shelter# $ ❑Alton Baker Park Shelter#1 $ DATton Baker Tur:€-Area# '-Y ' $ aS. ❑Alton Baker Park Shelter#2 $ o Hendricks Park Shelter $ — Iton Baker Turf Area# YI:f Jru.Kct $--- .-5-- o Owen Rose Garden $ ❑ Hendricks Park Shelter $ o Owen Rose Garden with Chairs $ — o Owen Rose Garden $ o University Park $ o Owen Rose Garden with Chairs $ o Other Facility Fee $ o University Park $ ❑ Bike Path Walk/Run/Bike Event Fee $ ❑ Other Facility Fee ❑Vehicle Access Permit❑ $10.00 ❑ $25.00 $ ❑ Bike Path Walk/Run/Bike Event Fee $ __----_—_–___– ❑Vehicle Access Permit❑ $10.00 o $25.00 $ Fee(s) ca-Check# I - 1 ❑ Cash $__ -----------------_--------- ------------ — 0'- Fee(s) erCheck#12111 o Cash $ Total $ I L Total $ ' O� J Cara Anthieny 12119 265 W 8th Ave#322 Eugene OR 97401 96-505/1232 elkii 121 I tfDate Pay to the /��Order of I 110 00 1 c A � � rs ' I _7 A Dollars CI ;l® e,a �• 1-866-4UMPLlUA UMPQUA (1-866-486-7782) N•K . �, D 1 ('1111 2.60 01/ut. _ - ,11 STEPHAINE F RANDALL 139 TREY J THOMPSON 597 COUNTRY CLUB RD APT 25 541-620-1632 96-74463232 EUGENE,OR 97401 5/f Z // 7 204 ` � Pay to the Date nFRAUJARMOR- Order of __1 o/ -- . _,---T-7-=_000419 2 MNcc uNI* NICE.REMARKABLY NICE CREDIT(INION lair • 600,366.1111 eamm1 .. .L-- ... .1 w+i. egonCounllyCU.o,a .«.