City of Eugene <br /> Public Wprks Parks and Open Space City of Eugene `♦ <br /> 1820 Roosevelt Boulevard Public Works Parks and Open Space <br /> •; <br /> Eugene,OR 97402 1820 Roosevelt Boulevard Eugene <br /> Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> tA4 A. S. i u. l,c�a --) <br /> Name off Event: • Name of Event:• I p Pr t a c a (-, -- <br /> Date(s) of ► 7� Re <br /> 4- v I 2 Date(s) of Event: �13 )4 <br /> Park Location: t�-� � <br /> ___ ------ Park Location: A. Act <br /> Standard Use Permit 2415.00 ❑ $30.00 $ l S" Standard Use Permit❑ $15.00 o $30.00 —$ ____ <br /> Special Use Permit ❑ $40.00 ❑ $80.00 —$------- Special Use Permit o $40.00 ❑ $80.00 $ <br /> yon Baker Park Shelter#1 $ i ?'S' ❑Alton Baker Park Shelter#1 $ <br /> a-�(�n Baker Park Shelter#2 $ 1 O.�o Alton Baker Turf Area# $ o Alton Baker Park Shelter#2 $ i <br /> a Hendricks Park Shelter $ - Eton Baker Turf Area# q f cam`' $ <br /> 3 Owen Rose Garden $ o Hendricks Park Shelter hey $ 1 <br /> 3 Owen Rose Garden with Chairs $ ❑ Owen Rose Garden $ <br /> Washington Jefferson Park 10 Owen Rose Garden with Chairs e4 $ <br /> 3 Other Facility Fee $ o University Park <br /> 3 Bike Path Walk/Run/Bike Event Fee $ o Other Facility Fee $ <br /> 3 Vehicle Access Permit o $10.00 c $25.00 $ o Bike Path Walk/Run/Bike Event Fee $ <br /> 3 Event Security Deposit $ <br /> chicle Access Permit 2y110.00 ❑ $25.00 $ ' <br /> =ee(s) heck# to (905/ ❑ Cash $ 310 Fee(s) heck#o o Cash $ <br /> )eposit(s) 7 Check# ❑ Cash $ <br /> , 2 S t ( Les Total $,3 5S3 10Total $ / ( <br /> City of Eugene 41<7,:-."", <br /> City of Eugene ' <br /> Public Works Parks and Open Space <br /> Public Works Parks and Open Space _ 1820 Roosevelt Boulevard i` "yam`` <br /> 1820 Roosevelt Boulevard T_.';.; Eugene, OR 97402 — <br /> Eugene,OR 97402 <br /> Park Reservation Receipt <br /> Park Reservation Receipt n <br /> • . lres5 �o , PO�t Name of Event: a'► tK Eat. I`4'co��- <br /> Name of Event: Date(s) of Event: er 17/1 b <br /> Date(s) ofa Event: i�? "-S°g # 2 Park Location: -_- 14-r, p)- <br /> ------ <br /> : M_—_—_— _ _ <br /> Park Location: /� ' _ ___ -- --- — 'sem �D <br /> —^ rmit 5.00 c $30.00 —$ i S — Standard Use Permit o $J5.00 ❑ $30.00 $ <br /> Standard Use PeSpecial Use Permit 9$40.00 o $80.00 $ p•, <br /> Special Use Permit ❑ $40.00 0 $80.00 $• <br /> --- ------------ <br /> 3 Alton Baker Park Shelter#1 �'/ $ <br /> 0 Alton Baker Park Shelter#1 $ t o ❑Alton Baker Park Shelter#2 �� $ <br /> 3 Alton Baker Turf <br /> Shelter#2 $ 0 Alton Baker Turf Area# 5+�� $ <br /> �Alton Baker Turf Area# 3 Hendricks Park Shelter $ <br /> j Owenendricks ParkGShelter $ a Owen Rose Garden .� $ <br /> � Rose Garden D Owen Rose Garden with Chairs $ <br /> ❑ Owen Rose Garden with Chairs $ J Washington Jefferson Park S ' <br /> 0 Washington Jefferson Park $ Other Facility Fee $ <br /> � Other Facility Fee 3 Bike Path Walk/Run/Bike Event Fee $ <br /> • Bike Path Walk/Run/Bike Event Fee $ 3 Vehicle Access Permit❑ $10.00 0 $25.00 $ <br /> 0 Vehicle Access Permit o $10.00 o $25.00 $$ Event Security Deposit $ <br /> j Event Security Deposit —___ - <br /> __— — r 3 Sal S ❑ as <br /> Ch $— = <br /> Fee(s) ryCheck# 7ot 70 Cash $ <br /> Feels) a<heck# <br /> Deposit(s) o Check# ❑ Cash $ Deposit(s) o Check# ❑ Cash $ <br /> _ 5 <br /> Total $ I 7 5 • Total $ 2 <br />