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PHILIP S. RICHARDSON 10338 <br /> SHELLY PORTER-RICHARDSON <br /> 3638 ASHFORD DRNE 24-22/1230 3246 <br /> EUGENE, OR 97405-6228 <br /> ATE <br /> <br /> oRD~o ~ ~ ~ 3~S <br /> 8 s.a.,,, ~ <br /> (e ~ F..tuia. <br /> V DOLLARS. i o.~.~i.>. <br /> r.k. <br /> usbankco ~ <br /> Ffis sw.trecr.rnw ~ ~ ~ s' <br /> ter s 1~ - ll// <br /> ~R ~~y~ ~ - r <br /> s ~ ~ <br /> 1 2 3000 2 20~: i 5 3 60 6 5 3 78 40~~'0 38 ~ ~ ~ ~ <br /> G <br /> i <br /> Tear off and return bottom portion with payment. Please do not send cash. - <br /> ~ <br /> Applicant: Eugene City of <br /> Mail Payments to: Account Type: Application <br /> Department of State Lands Account ID: APP0~033479 <br /> Unit 18 Invoice 2300 <br /> PO Box 4395 Invoice Date: December 4, 2006 <br /> Portland OR 97208-4395 Balance Due: $375.00 <br /> Amount Paid: <br /> - ~.~.o~ <br /> <br />