City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> A1820 Roosevelt Boulevard /',1t}`�` <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date 102_1 I <br /> From <br /> Address ph { D ss,�_c� <br /> City/State/Zip <br /> Quantity Description Amount <br /> I V-CC rn�- 124_ 01 S <br /> TOTAL <br /> Payment: (as z k# 2-I S7 O Credit Card <br /> Received by - ` <br />