New Search
City of Eugene ,, . , City'of Eugene <br /> Public Works Parks and Open Space , i„uw., Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard 1820 Roosevelt Boulevard rt9 ` <br /> Eugene,OR 97402 Eugene, OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt (f-CenctS)! -trod ��`a )) ( Gt5 17-V <br /> Name of Event: i r+5 6• , o% Name of Event: �/ °� <br /> Date(s) of Event: 7 a i Date(s) of Event: / <br /> ib <br /> Park Location: I rri "� Park Location: S fGr nh 13. <br /> Standard Use Permit o $15.00 ❑ $80.00 $ <br /> Special Use Permit o $40.00 0 $80Standard Use Permit x'(5.00 0$30.00 $ (S.: <br /> 00_-� $ –� Special Use Permit o $40.00 o $80.00 $y�-�– <br /> ❑Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ o Hendricks Park Shelter $ <br /> o Owen Rose Garden o Owen Rose Garden $ <br /> 0 Owen Rose Garden Chairs (optional) $ o Owen Rose Garden with Chairs $ <br /> o Washington Jefferson Park / ❑Washington Jefferson Park i <br /> 2-Other Facility Fee J i r' $ S. o6ther Facility Fee S (' 2 $r�i s- <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ o Bike Path Walk/Run/Bike Event Fee $ <br /> o Vehicle Access Permit ❑ $10.00 ❑ $25.00 $ o Vehicle Access Permit o $10.00 o $25.00 $ <br /> ❑ Event Security Deposit o Event Security Deposit $ <br /> Fee(s) Check# 13`1 S ❑ Cash $w Fee(s) o.G�heck# /6 di o Cash $ W.0 <br /> Deposit(s) ❑ Check# ❑ Cash $ Deposit(s) o Check# ❑ Cash $ <br /> i <br /> Total $ � ' Total $ 140, <br /> • <br /> . ,. ►: <br /> City of Eugene City of Eugene <br /> Public Works Parks and Open Space . T�-�; Public Works Parks and Open Space ;,:,,r�,d <br /> 1820 Roosevelt Boulevard o ;' 1820 Roosevelt Boulevard EUge,, <br /> Eugene,OR 97402 <br /> ' Euyvne,OR 97402 ,r;er <br /> Park Reservation Receipt Park Reservation Security Deposit <br /> Name of Event: G "nC1 ' I'd . ` h; Name of Event: <br /> m ,�ct_ CIC(1 15Ell ( At)/ <br /> Date(s) of Event: 1/.1•704: Date(s) of Event:–_-�i® • _—^ <br /> Park Location: , l .t ____�_ <br /> --------- Park Location: <br /> Standard Use Permit-e-$15.00 ❑ $30.00 $ oo Alton Baker <br /> Park <br /> rk k �herUniversity <br /> Par <br /> •s -(61 h� <br /> Special Use Permit ❑ $40.00 0 $80.00 $_— o Owen Rose Garden o 2016 Season <br /> Alton Baker Park Shelter#1 ____ $ l? ----MwY—$ Event Organize �p cL �—r: , <br /> ❑Alton Baker Park Shelter#2 $ Address: 141 , <br /> ❑Alton Baker Turf Area# 0 `103 <br /> o Hendricks Park Shelter ___ _ ___ ---w �-- <br /> o Owen Rose Garden $ � –� �� – ____ ❑ Cash $ <br /> o Owen Rose Garden with Chairs $_— <br /> ❑ Check# <br /> o Washington Jefferson Park Total $ <br /> o Other Facility Fee $— -________�_�____w_----____�___--_---- --------------- <br /> o Bike Path Walk/Run/Bike Event Fee $_______ <br /> Returned: <br /> o Vehicle Access Permit❑ $10.00 0 $25.00 $ ❑Mailed / Picked up on: (date) <br /> o Event Security Deposit <br /> –"� Signature <br /> Fee(s)-- <br /> o Check �#` ' o Cash $ j ( oCredit Card # - <br /> Deposit(s) o Check# o Cash $ CSC Code _ Zip Code_________ <br /> Total $ j 7(- <br /> —1,,. ) 4I CO 17A- •i2_,4 77 7( L - I <br />