;ity of Eugene • City of Eugene ,;--•,., <br /> 'ublic Works Parks and Open Space rr.:�- i� <br /> =- Public Works Parks and Open Space = i <br /> 820 Roosevelt Boulevard Iv•41: .` •1820 Roosevelt Boulevard <br /> cugene,OR 97402 i....,. <br /> Eugene,OR 97402 - <br /> Park Reservation Receipt Park Reservation Receipt <br /> dame of Event: • /YIOZ 1(\ge) r,�.et 4,1-l� 1 k <br /> J Name of Event: l� +ce-,/ k pyo t(t2. . <br /> )ate(s) of Event: • I a /�- Date(s) of Event: $• I. 11 <br /> 'ark Location: 6 1.1,4,47t. 1/1 • • , AV tiPark Location: c iN•dA.;(fes <br /> itandard Use Permit o-$15.00 0 $30.00 $ 1 -` Standard Use Permit o $15.00 ❑ $30.00 $` _ ____ <br /> >pecial Use Permit 0 $40.00 ❑ $80.00 $' Special Use Permit ❑ $40.00 ❑ $80.00 $• <br /> ' ~ <br /> i Alton Baker Park Shelter#1 $ o Alton Baker Park Shelter#1 $ <br /> i Alton Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ <br /> i Alton Baker Turf Area # $ o Alton Baker Turf Area# $ <br /> i Hendricks Park Shelter $ gndricks Park Shelter $ 1 S• -- <br /> rdwen Rose Garden 4 YMp $ 75, ❑ Owen Rose Garden $ <br /> Owen Rose Garden with Chairs aid $ a Owen Rose Garden with Chairs <br /> Washington Jefferson Park Cwa�ls o Washington Jefferson Park $ <br /> Other Facility Fee $ o Other Facility Fee $ . <br /> Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> Vehicle Access Permit 0 $10.00 c $25.00 $ o Vehicle Access Permit o $10.00 a $25.00 $ <br /> Event Security Deposit $ a Event Security Deposit $ <br /> ee(s) _ w ca.-Check# '5111-- a Cash $ Fee(s) a-Check# )Q-L2 ❑ Cash $ ` w <br /> 'eposit(s) ❑ Check# o Cash $ Deposit(s) o Check# o Cash $ <br /> Total $ 1 0. Total $ 75- <br /> City of Eugene City of Eugene i`��� <br /> Frr :a=fi'.:" 3�1 <br /> Public Works Parks and Open Space �; :�® Public Works Parks and Open Space �� <br /> 1820 Roosevelt Boulevard '%a � ,:, 1820 Roosevelt Boulevard `d : t <br /> Eugene,OR 97402 Eugene,OR 97402 "�' <br /> Park Reservation Receipt Park Reservation Receipt <br /> 7 <br /> Name of Event: (� ��rt . .,I ".�ik• C.CS. IPCAC Name of Event: 1 A.re>) -1,s' ! r2).,,,,,m. (4i0• <br /> Date(s) of Event: �1/9/17 I . Date(s) of Event: `i• )5. i <br /> Park Location: Ij.?�-f'k.2.YY Park Location: r1,1 r^,,1.CC? <br /> Standard Use Permit x$15.00 0 $30.00 $ ,S. Standard Use Permit er$15.00 o $30.00 $ .1 S. <br /> Special Use Permit o $40.00 ❑ $80.00 $ Special Use Permit o $40.00 0 $80.00 $ <br /> o Alton Baker Park Shelter#1 $ ❑Alton Baker Park Shelter#1 $ <br /> o Alton Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# $ ❑Alton Baker Turf Area# $ <br /> ❑ Hendricks Park Shelter $ ❑ Hendricks Park Shelter $ <br /> a Owen Rose Garden $ o Owen Rose Garden $ • <br /> o Owen Rose Garden Chairs (optional) $ • o Owen Rose Garden Chairs (optional) $ • <br /> • o Washington Jefferson Parko Washington Jefferson Park <br /> o Other Facility Fee FS e+1"21CA rn• t� 2sC.' o Other Facility Fee $ <br /> o Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> o Vehicle Access Permit o$10.00 0 $25.00 $ o Vehicle Access Permit o $10.00 ❑ $25.00 $ <br /> o Event Security Deposit $ o Event Security Deposit $ <br /> Fee(s) a`Check# ',.1.•,,�a Cash $ Fee(s) a Check# .. a Cash $ <br /> Deposit(s) 0 Check# 0 Cash $ Deposit(s) o Check# ❑ Cash $ <br /> Total $ - •• Total $ <br /> I <br />