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A-cd- Cob_ 13i"qq27- - L/72-9,0 <br /> 1 W N O. City of Eugene , <br /> date O Public Works Parks and Open Space �,, +� <br /> D uo-.n $ 1820 Roosevelt Boulevard <br />' received from 55 �D -©f0 Eugene,OR 97402 Eugene <br /> Fr a- 14et, dollars <br /> Park Reservation Receipt ..(� <br /> for payment of 1 0 FF`-' Po te5 <br /> oneyr credit � <br /> cash O ordme0 check# Name of Event: O L E..: UJJ 0 L. <br /> Date(s) of Event: `I MISSIT/ - a i <br /> amount due 5 v , Park Location: : 1k /.._ill <br /> lliarA <br /> from to <br /> amount paid 5-6Standard Use Per t�g,$15.00 ❑ $30.00 $ r�/� <br /> balance r) signature Special Use Per tri $40.00 o $80.00 $ g"0 BOO <br /> a DC2501WS <br /> 11 o Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter $ <br /> ? o Owen Rose Garden $ <br /> date /�J ' N O. J O/C� Q u o Owen Rose Garden with Chairs $ <br /> al <br /> Cv`') 2, o University Park 2\� $ <br /> received from (� S $ e❑ that Facility FeJ <br /> fivckv5 Qhs.- 64,, N!- dollars ee-P lalk/Bu+ ike Event Fee $ <br /> �0 o Vehicle Access Permit o $10.00 o $25.00 $ <br /> t w—� <br /> for payment of 7 Lt A 5 5 Fee s` iyCheck# ��I I ❑ Cash $ <br /> n cash money credit check# Fee( <br /> / <br /> �x- 0 order 0 card1 r <br /> amount due �Lfl' C6/C42-S.-14714 � <br /> from toTotal $ 3D, <br /> amount paid <br /> ----;"? - <br /> balance signaturep <br /> ` a.DC2501WS <br /> City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space 44IM. <br /> .r,+f <br /> 1820 Roosevelt Boulevard Eugene <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date • Z. 1 l-, 4_,:',A,•:_--, 1 (1,,From -T�1,�`r�\f L',Cr t ;-r); 17 <br /> Address "_-.', ---7 'c,:, ,..'; "7 t. t~, r, <br /> City/State/Zip '‘-z-,.:_\)C=9`-= , \t;= e-,,,6?, G-1 LA .'7 <br /> • <br /> Quantity I <br /> Description Amount , <br /> :'S, \;,=„-s' i,`..t t.+t:=�-r F.r.( 5 <br /> TOTAL <br /> 1 ..-1 w a?-16— Lk t-kO(Ca <br /> Payment: sCash 0 Check# <br /> 0 Credit Card <br /> Received by .0'1. /' -r" *= ‘" '"":.q "`‘ ‘..-e--. <br />