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131- qy-7Z-14�/C'G04 <br /> Ml. <br /> City of Eugene �oy- � � C'� v1) ?'-r <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard ''`w"' ' <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 LO,a <br /> Fax # (541) 682-4882 <br /> C+� <br /> r-i <br /> RECEIPT ;A <br /> Date << - I D - Z01 Co 0 <br /> From 5+1 - °112.-46.0i <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> l�ccr`� - surdao '-�aqviCkx+ -4 Cb -c° <br /> - - <br /> TOTAL <br /> 4DD+ <br /> Payment: D Cash Check# ❑ Credit Card <br /> Received by <br />