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1 <br /> City of Eugene <br /> Public Works Parks and Open Space • <br /> 1820 Roosevelt Boulevard 1 <br /> Eugene, OR 97402 V` <br /> T.uyene <br /> Park Reservation Receipt <br /> Name of Event: ( <br /> Date(s) of Event: tat y kt S `r <br /> 7I, 311b <br /> Park Location: <br /> , ~~ — <br /> Standard Use Permit❑ $15.00 o$30.00 <br /> Special $ <br /> UsePermit 0$40.00 o $80.00 $-------- <br /> o Alton Baker Park Shelter#1 – --~`"–""- <br /> o Alton Baker Park Shelter#2 $ <br /> $ <br /> o Alton Baker Turf Area# <br /> °"endricks Park Shelter $ <br /> o Owen Rose Garden $ <br /> o Owen Rose Garden with Chairs $ <br /> $ <br /> o University Park <br /> ❑ Other Facility Fee $ <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> o Vehicle Access Permit 0$10.00 $ <br /> $25.00 $� <br /> 0 <br /> Fee(s) ~~------------------- <br /> ❑ Check# 'Gash $ Se — <br /> • <br /> Total $ _ <br /> • <br /> HAILEY HENDERSON 164 <br /> • <br /> PAUL HENDERSON <br /> 2408 1/2 HARRIS ST 96.50'1/1232 1 <br /> EUGENE,OR 97405-3044 �5� 61 <br /> / , Date <br /> Pay to the <br /> (// <br /> Order of gle , I/ -hi <br /> v <br /> �/�� / r , I a o -. <br /> C��' " Dollars ttl <br /> n. <br /> JL18664UMPJA(1.666.486-776 <br /> t•//A��•N•K <br /> t1,adelA ____ <br /> H nd Cana <br /> I NI. <br />