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City of Eugene <br /> .:. <br /> A. <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Ee - <br /> Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> 3 f �1 RECEIPT <br /> Date ` <br /> ' ' <br /> From / 'if'K -- <br /> Address =LP" _, 4,.—, <br /> City/State/Zip .00— ..50, <br /> •uantit Descri•tion Amount <br /> / /_ / -- 5k50171-57C1° ` iV' _S7/0 53 <br /> -- - <br /> -9----- 'A*Pc <br /> . 1 )� <br /> .d <br /> kUt 1 <br /> TOTAL <br /> Payment: ❑ Cash ❑ Check# ' Credit Card <br /> Received by frylij.&14/er <br />