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y <br /> EXPENSE REIMBURSEMENT RECORD <br /> PERIOD ENDING: JANUARY 1 THROUGH MAY 25, 2004 <br /> Project # /Name: 04-01-Eugene /Chad Drive Extension Project <br /> C'o~-arr Car:ch <br /> 1;N1112()NM1tL?tiI'AL~f:RVI('ES, (NC' <br /> 27661 CROW ROAD EUGENE, OREGON 97402 <br /> DATE PURPOSE /ACTIVITY EXPENSE ITEM EXPENSE AMOUNT <br /> ?'o <br /> <br /> • ~ ~ Sew ~ e- ~ ~o • ~ <br /> e V ~ f ~ ~ ~~c • ~ 7.20 <br /> ~ <br /> TOTAL EXPENSES = <br /> <br />