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r <br /> Pai-k Ilse Permit <br /> 410 C .,1�� , <br /> p Emerald Valley BMX L 1 <br /> 2715 Leo Harris Pk %.y• Eugene. OR 97402 <br /> Report of Camping Fee Revenue <br /> Name of the Event: Emerald Valley BMX Gold Cup Regional Championship <br /> Date(s) of Event: September 16, 17 & 18_ <br /> • <br /> Camping Fee Revenue: <br /> As part of the approved Specialty Park Use Permit, a permit condition was placed on the permit requiring that • <br /> a single campsite to be sold for a $30.00 fee. Of this fee charged, $10.00 of the campsite fee was payable to <br /> the City of Eugene Parks and Open Space Division by Oct. 21, 2016. <br /> Financial Summary of Event: <br /> A. Total Campsites Spaces Sold: $ 3� <br /> B. Amount to be remitted to City of Eugene by check $ . DD <br /> • #of campsites sold X$10 00 per site) <br /> Payment to be sent to City of Eugene, Parks and Open Space Division, 1820 Roosevelt Blvd. Eugene, OR 97440 <br /> EMERALD VALLEY BMX 1685 <br /> OUTDOOR ACCOUNT <br /> PO BOX 7742 <br /> 96-513/1232 <br /> EUGENE,OR 97401-0027 lad / <br /> DATE I` acct* r <br /> PAY <br /> O THE I- .,) l-1 L�t�(.C2 I LY f-borts '7�/�� Y ) l^�^l ".� U I v\ s lJ1 1 $ D V <br /> ORDER OF / _� X/ I ��']�' <br /> lk <br /> )1 y Q . 11 _ I 023 Di I.lJ� DOLLARS n <br /> PHCIFIC C011TIIHEIHTHL®Bflflif �� <br /> Toll-free 1-877.231-2265 therightbank.com <br /> FOR C DI 0L(_p (bsyi �__-- <br /> j j <br /> WAY, <br /> ,• • <br /> City Of Eugene Contract 2016-05303 Amendment No. 1 9/2016 F4;7. <br />