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I e City of Eugene ' Public Works Maintenance Public Works Parks and Open Space " 1820 Roosevelt Boulevard -••....0111r- Eugene, OR 97402 W ene Tele # (541) 682-4800 Fax # (541) 682-4882 RECEIPT Date 13' ILP From t---I '1 b,a.)(13"-- Address S¢r- 2-3Z ---4-1 2 City/State/Zip Quantity Description Amount I 1--eLvel,E. <Pb-k-- (-- 3.,..e...4,--I-6)Va._,_ .._ 41 0 0 ra TOTAL 4IO \ Payment: Cash ,, oiii , , C k# 1 1 ❑ Credit Card Received by City of Eugene 'Public Works Parks and Open Space 0.41111"k: City of Eugene 1820 Roosevelt Boulevard Public Works Parks and Open Space 0 1011Nat. Eugene,OR 97402 i—cieriJ 1820 Roosevelt Boulevard ne' Eugene,OR 97402 g4.e S 3a, Park Reservation Receipt `- Park Reservation Receipt Name of Event: 4p11 (�' Name of Event: 6 yrs •Day Date(s) of Event: tc..elPark Location: ��(�u Date(s) of Event: ev 2.4 go. 4?,1.1Gt Park Location: Standard Use Permit a $15.00 a $30.00 $ — v ----- Special Use Permit o $40.00 ❑ $80.00 $ Standard Use Permit x15.00 a $30.00 $ 1 5 Special Use Permit a $40.00 a $80.00 $ o Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 M-_______$—_-____ a Alton Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ ❑AI pn Baker Turf Area* $ -- a Alton Baker Turf Area# $ a-i�endricks Park Shelter $7S ❑ Owen Rose Garden $ a Hendricks Park Shelter $ o Owen Rose Garden with Chairs $ ❑ Owen Rose Garden $ o University Park $ a Owen Rose Garden with Chairs $ ❑ Other Facility Fee $ ❑ University Park $ a Bike Path Walk/Run/Bike Event Fee $ o Other Facility Fee $ a Vehicle Access Permit❑ $10.00 a $25.00 $ o Bike Path Walk/Run/Bike Event Fee $ o Vehicle Access Permit❑ $10.00 o $25.00 $ Fee(s) -ertheck# i()VD ❑ Cash $ -------------------------------------------- Fee(s) .2-Check# 4,, q 3 ❑ Cash $ Total $-75-,0 ,-� Total $ I-5.