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City of Eugene t`� <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard • <br /> Eugene, OR 97402 :i ' \r <br /> Eugene <br /> Tele # (541) 682-4800 ` <br /> Fax # (541) 682-4882 <br /> v � <br /> RECEIPT <br /> Date 1I7ILP <br /> From 2V 2, >Y-2 1(1 cS2_ kSA-c-v-e-CA)hDV%S s •(-130-) <br /> Address koc — 4234 v\‘421(- .0.1 l L,. . <br /> City/State/Zip <br /> Quantity Description Amount <br /> I YRJ2_, 't-c)aroe,/a—D 46VQ:0 <br /> TOTAL 4✓ cV <br /> Payment: 0 ash 0 C e. *Credit Card <br /> Received by • <br /> CITY Of LODEN: PO5 <br /> 1820 I?OIMVELT BLVD <br /> EUGENE, OR. 97402-41b9 <br /> 541 682 4812 <br /> Phone Order <br /> xxxxxxxxxxxxi133 <br /> VISA Entry Method: Manual <br /> Total: $ 560.00 <br /> 07,25/16 14.39:03 <br /> Inv a: 111 v X001 AoPr Code: 615293 <br /> Apprvd: Online <br /> AVS Code: ZIP MATCH Z <br /> CVV2 Code: MATCH M <br /> 1 agree to par above total amount <br /> • according to card iesuer agreement <br /> (Merchant agreement If credit voucher, <br /> Htrche,L COPY <br /> THANK YOU! <br />