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• Level 32 Racing LLC <br /> PO Box 1732 3595 <br /> Eugene OR 97440 2a-2ov�230 <br /> (541)343-6414 <br /> 1 DATE <br /> PAY c� <br /> O11/7//t , <br /> TRDER OFI$ /(5-4 <br /> c <br /> fro <br /> (-57l`�� 4,4, . _ %. , C C L Ll�_ DOLLARS a :«i:� <br /> KEYBANK NATIONA ,,S e CIATION s <br /> 1' 4r; <br /> 3 <br /> FOR ^A fr-. ✓� ir G//S' Nr <br /> City of Eugene (i.` `- <br /> FJublic Works Parks and Open Space %:,� A <br /> 1820 Roosevelt Boulevard y` % <br /> Eugene,OR 97402 <br /> Park Reservation Receipt <br /> �? R <br /> Name of Event: 'U I h a (= j7). (3 .u— <br /> Date(s) of Event: 1.a i3 I !y <br /> Park Location: ,1,L J.x r.csb 5 r 5 i l' Pa.--- <br /> Standard Use Permit o $15.00 0 $30.00 $ <br /> Special Use Permit m'$40.00 o $80.00 $ 1/0.; <br /> 3 Alton Baker Park Shelter#1 $ <br /> ❑Alton Baker Park Shelter#2 $ <br /> Alton Baker Turf Area# $$ <br /> 3 Hendricks Park Shelter $ <br /> 3 Owen Rose Garden <br /> 3 Owen Rose Garden with Chairs $ <br /> 3 Washington Jefferson Park $ <br /> 3 Other Facility Fee <br /> eke Path Walk/Run/Bike Event Fee $ 15- <br /> 3 Vehicle Access Permit o $10.00 ❑ $25.00 $ <br /> 3 Event Security Deposit <br /> =ee(s) 'Check# 3 •15 ❑ Cash $ <br /> Deposit(s) o Check# — <br /> o Cash $ <br /> Total $ t; 5 <br />