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<br /> 04/28/2008 MOx i3: 0 FAX 541 682 8500 LANE CO PW X002/002 <br /> ;w Lane County Department of Public Works Receipt No 2815 <br /> h <br /> Facility Permit -Receipt of Payment <br /> pF <br /> ''~~f ~ it <br /> Lane County Public Works <br /> 3040 N. Delta Hwy. . <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> ermit 080226 Receipt Date 04/28/2008 <br /> eceipt For ITY OF EUGENE ~~~J~ <br /> 58 PEARL ST <br /> UGENE, OR 97401 Vy` <br /> ~~z~ l~ <br /> ethod of Pay ent MasterCard <br /> Amount Paid $250.00 <br /> Items Paid Amount <br /> LANE COUIITY PUBIIC WORN ~ <br /> Permit Fee Other SHERRY 541-607.6916 $250.00 ~ <br /> EU6ENE~ OR, 914D8-1636 Total $250.00 <br /> tERf4<'llAl I.D.: OB 173400D09508Y4497b02 <br /> IiERCHRHi q~ 9500294976 <br /> MG PCARD <br /> ~#4~~6710 # <br /> SALE <br /> RECDRD q. i lNV~ 009001 <br /> DR1E; APR 28, A8 1Il~~ 13,24 <br /> BRiCN; 909 <br /> RUlH~ 005499 <br /> CUSi CODE: 159 ~ <br /> RVS RESPONSE N ~ <br /> ' NO MRiCH Oll AADRESS OR ZIP a <br /> N <br /> TOTAL $2S©.0p <br /> --~cl <br /> J <br /> I ti6REE i0 PAV ABOUE iDiAL AHOUIIt <br /> aGCORDI11610 CRRD ISSUER gSREEMEMI <br /> (I~RCHAIfi A6REEI4EIl1 If CREDIT VOUCHER? <br /> CUSTOMER COPV <br /> ,Thank you for your payment <br /> <br />