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City of Eugene <br /> Publk: Works MainbenanoE <br /> Punic works Parks and Open 5paoe <br /> 1820 Roosevelt Boukward <br /> Eugene, OR 97402 <br /> Tel~hone S (541) 682-4800 <br /> RECEIPT <br /> <br /> Date ~l Z <br /> From <br /> <br /> Address v <br /> City/State/Zip <br /> uanti Descri on Amount <br /> . ~L~ra l ~i~ ~ <br /> ~ t v~ r~~ <br /> ~ ~ 7 <br /> . TOTAL <br /> internal Use <br /> payment : ?Cash ~Chedc # ?Credit Card <br /> Received by ~~'-~~1'~ <br /> <br />