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11 <br /> City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard �` <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 • <br /> RECEIPT <br /> Date 5. 2q. ((v <br /> Froma it c <br /> Afrol <br /> Address �d J Cl)-h <br /> City/State/Zip i..> 6 S+kLu, rr e/O t7? 4 6 <br /> Quantity Description Amount <br /> S IC- d 1/ �0D, Do <br /> iy ())( e 2o-H1 -21 54- ) <br /> f I - `/ 7L- �l�4y3 <br /> TOTAL c .oV Do <br /> Payment: ash ck# 17(p 4 0 Credit Card <br /> Received by IAIA43 -- <br /> CHAD M SAUNDERS 1764 ' <br /> 156 STONEHAVEN ST gg' <br /> EUGENE,OR 97404 �j �/� 90.80321388318 <br /> ✓ N/, 21 3 <br /> Date <br /> Pay to the U � ,�X <br /> Order of �' Q� �+�G g�' <br /> . � /' _ <br /> • <br /> • <br /> ��{� <br /> � j—�� 1/ /lam <br /> Dollars 8 or.". <br /> Yt. <br /> First `►Tech <br /> federal credit union <br /> iY flrsttechfed.com 1855.855.8805 I} <br /> ForZOK VM146'01f 7ef�L�,41►Yie 411.61 <br /> � R <br /> • <br />