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City of Eugene ,� <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 • <br /> RECEIPT <br /> Date - 1Z" 11 <br /> From"1he• IN3ATu 24IN\ <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> CO <br /> N\JQ\C -E 0-0 v-1 <br /> TOTAL L`C,C) <br /> Payment: <br /> 0 Cash 0 Check# =� Credit Card <br /> Received by �/ 7 <br />