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City of Eugene cI •ZZ•~~' <br /> PlanninY & Development Department <br /> BuIldIng & Permit Services <br /> 99 W. 10th Avenue <br /> Eugene, OR 97401 <br /> Customer Information: Billing Information• <br /> K~r~t ~ ~~u~ ~s~ glzD~by <br /> Customer Name/Comparry <br /> Addresr Purchase Order Number (non-Ctry departments) <br /> Ctry, State, Zlp - oo <br /> C/ry Job Number or Account Code <br /> " G°~~ C854 <br /> Customer Telephone Department to be B!l/ed <br /> C~xwi~ a5 a,[~~ <br /> Contact Name <br /> Quantity Description of Service PIC Revenue Code Amount _ <br /> V C,l7~z.7~ Foos E'.~H.o-~c~-rkcNT , Cj~ ~ ~ ~Qd+nch <br /> 1 <br /> i S l- ~f Z i l ~ SZZ..~ '~f ~ ~0 <br /> ~ ~ <br /> 53!- 433a-- ~~So-4~~ : 6~~6 Z <br /> <br /> ~ Total Due <br /> <br />