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city of Eugene ' City of Eugene _ <br /> Public Works Parks and Open Space '` _ Public Works Parks and Open Space P �, ;m <br /> 1820 Roosevelt Boulevard z-',,•,, ` 1820 Roosevelt Boulevard r= �" ' <br /> Eugene, OR 97402 Eugene, OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> /1 t–�.M. <br /> Name of Event: 'U ' I co)' i . aPIA Name of Event: i�([t.-n Lp Fk PN. KCt.h <br /> Date(s) of Event: ' (v i(,) Date(s) of Event: S J 0 /I ( . / , <br /> carr 1.5 <br /> Park Location: Ti l C - Park Location: /l,( f,'-e Ja4 ph 5 / <br /> ci <br /> Standard Use Permit15.00 ❑ $30.00 $ r5-1---- Standard Use Permit o $15.00 o $30.00 $ sr <br /> Special Use Permit o $40.00 o $80.00 $ Special Use Permit e$40.00 o $80.00 $ <br /> o Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#2 $ 7 Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area # $ :Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ 3 Hendricks Park Shelter $ <br /> o Owen Rose Garden $ 3 Owen Rose Garden $ <br /> o Owen Rose Garden Chairs (optional) $ 3 Owen Rose Garden with Chairs $ <br /> o Washington Jeffers P r`k 3 W shington Jefferson Park . <br /> erOther Facility Fee - k.Q-Q $9 26lekher Facility Fee $ <br /> o Bike Path Walk/Run/Bike Event Fee $ eke Path Walk/Run/Bike Event Fee $ 15. <br /> ❑Vehicle Access Permit ❑ $10.00 o $25.00 $ 3 Vehicle Access Permit o $10.00 ❑ $25.00 $ <br /> o Event Security Deposit $ 3 Event Security Deposit $ <br /> Fee(s) z-Check# J(,,ci I o Cash $ :ee(s) ra<heck# 7--3d ❑ Cash $ 15. <br /> Deposit(s) ❑ Check# o Cash $ Deposit(s) o Check# __ o Cash $ <br /> Total $ 1--10. Total $ 7> <br /> pity of Eugene r f°"�"a <br /> E City of Eugene <br /> ,f i': <br /> Public Works Parks and Open Space ,,,,,'''''..9':.-.. ,.., Public Works Parks and Open Space 'w��r <br /> 1820 Roosevelt Boulevard 1820 Roosevelt Boulevard e� ` <br /> Eugene,OR 97402 �`"� Eugene,OR 97402 -, �r'.J"'�" <br /> Park Reservation Receipt r Park Reservation Receipt <br /> wr <br /> Name of Event: ic:h ! C,1 ^ �aQao2�t Name of Event: •R,.Ua.( Cr. HO- k) KC <br /> Date(s) of Event: 7//7/40 Date(s) of Event: $l2l <br /> Park Location: rO'er y -t _(a Park Location: t;' ikA.(10,1,_l.�-- <br /> ---------------- <br /> Standard Use Permit o $15.00 c $30.00 $ Standard Use Permit o $15.00 o $30.00 $ <br /> Special Use Permit ❑ $40.00 L.-$-80.00 $ &V.— Special Use Permit X40.00 o $80.00 $ `i(.o 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 $ ❑ Hendricks Park Shelter $ <br /> o Owen Rose Garden $ ❑ Owen Rose Garden $ <br /> o Owen Rose Garden Chairs (optional) $ o Owen Rose Garden Chairs (optional) $ <br /> • o Washington Jefferson Park ❑Washington Jefferson Park <br /> o Other Facility Fee $ ❑ Other Facility Fee $ <br /> o Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> o Vehicle Access Permit o $10.00 ❑ $25.00 $ ❑ Vehicle Access Permit o $10.00 o $25.00 $ <br /> o Event Security Deposit $ ❑ Event Security Deposit $ <br /> Fee(s) heck# 5d03 o Cash $�,� <br /> r Fee(s) check# I&06 o Cash $ <br /> Deposit(s) c Check# o Cash $ Deposit(s) o Check# o Cash $ <br /> Total $ Total $ 140, <br />