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A City of Eugene4-;:&,_ City of Eugene ' -� Public Works Parks and Open Space Public Works Parks and Open Space �.� . 1820 Roosevelt Boulevard 7 + 1820 Roosevelt Boulevard Eugene,OR 97402 Eugene,OR 97402 Park Reservation Receipt / Park Reservation Receipt Name of Event: () Oni�S 17� l () Name of Event: OCP �t fly • Pin 1 C. Date(s) of Event: a t/ Z Date(s) of Event: 515 II b 2 Park Location: S IC in_rue, 6 . Park Location: j I. bGt,Il.Dit Av Standard Use Permit r $15.00 c $30.00 $ 1S. � Standard Use Permit.r(15.00 o $30.00$ )S•�" Special Use Permit ❑ $40.00 c $80.00 $ Special Use Permit ❑ $40.00 o $80.00 $. ~H o Alton Baker Park Shelter#1 $ to f,Iton Baker Park Shelter#1 $ o Alton Baker Park Shelter#2 $ Alton Baker Park Shelter#2 $ 1 fo 0. o Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ o Hendricks Park Shelter $ o Hendricks Park Shelter $ o Owen Rose Garden $ o Owen Rose Garden $ o Owen Rose Garden Chairs (optional) $ ❑ Owen Rose Garden with Chairs $ • o Washington Jefferson Park ❑Washington Jefferson Park p-ether Facility Fee 5 F3 # 2 $a5• ❑ Other Facility Fee $ o Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ o Vehicle Access Permit c $10.00 o $25.00 $ o Vehicle Access Permit o $10.00 o $25.00 $ o Event Security Deposit $ o Event Security Deposit $ Fee(s) heck# I lo 6 q o Cash $ "IL — Fee(s) ^ check# 0`14 S o Cash $ 17 S Deposit(s) o Check# ❑ Cash $ Deposit(s) ❑ Check# o Cash $ Total $ ��'C Total $ S. City of Eugene Public Works Maintenance '�t't�►i Public Works Parksksand Open Space 1820 Roosevelt Boulevard Eugene, OR 97402 Tele # (541) 682-4800 Eugene Fax # (541) 682-4882 RECEIPT Date (-‘ ' i t LP From v)Ir- 1 1 .74Q-0•.v," s Address C-, --v-a C std_o 1or,�-'ham_, [fav,.-tvs City/State/Zip Quantity Description Amount I v-e-4 S 4 37 4-S TOTAL 4.3-1 .4s Payment: ii CishC k CW, 0 Credit Card Received by di . t\ aareu