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City of Eugene �> City of Eugene <br /> Public Works Parks and Open Space ';::-..14- Public Works parks and Open Space ,,; <br /> 1820 Roosevelt Boulevard 1820 Roosevelt Boulevard <br /> .a }Mt <br /> Eugene,OR 97402 -, c.. Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> Name of Event: • f'(1 U t, g•Out 4 Name of Event: A 4r Q Oleilde 0/14( <br /> Date(s) of Event: 5•a7•/7 Date(s) of Event: -1129 19- 'L <br /> Park Location: r1 R-err' ( Park Location: H $r , <br /> -- ------------ ------------------------------------------------------- <br /> Standard Use Permits-$'15.00 ❑ $30.00 $ 15. -- Standard Use Permit❑ $15.00 ❑ $30.00 $ <br /> Special Use Permit ❑ $40.00 o$80.00 $ Special Use Permit 0-$40.00 ❑ $80.00 $ 'tU• <br /> a- on Baker Park Shelter#1 $ 13 5 '-r ❑Alton Baker Park Shelter#1 $ <br /> 3 Alton Baker Park Shelter#2 $ ❑Alton Baker Park Shelter#2 $ <br /> 3 Alton Baker Turf Area# $ ❑Alton Baker Turf Area # $ <br /> 3 Hendricks Park Shelter $ ❑ Hendricks Park Shelter $ <br /> 3 Owen Rose Garden $ o Owen Rose Garden $ <br /> 3 Owen Rose Garden with Chairs $ 0 Owen Rose Garden with Chairs $ <br /> 3 Washington Jefferson Park o Washington Jefferson Park <br /> 3 Other Facility Fee $ ❑ Other Facility Fee $ <br /> 3 Bike Path Walk/Run/Bike Event Fee $ ❑ Bike Path Walk/Run/Bike Event Fee $ <br /> J Vehicle Access Permit❑ $10.00 o $25.00 $ 1 ❑Vehicle Access Permit❑ $10.00 o $25.00 $ <br /> 3 Event Security Deposit $ o Event Security Deposit $ . <br /> =ee(s) c3,2tieck#jj5 1 ❑ Cash $ _ Fee(s) 0-Check# / " u ❑ Cash $ <br /> Jeposit(s) ❑ Check# o Cash $ Deposit(s) o Check# ❑ Cash $ <br /> / ,lam <br /> Total $ 5V. Total $ 4U. <br /> • <br /> City of Eugene !"', <br /> Public Works Parks and Open Spacec .ity of Eugene . <br /> 1820 Roosevelt Boulevard 1 1 j Public Works Parks and Open Space ==• <br /> Eugene,OR 97402 1820 Roosevelt Boulevard . <br /> g Eugene,OR 97402,', <br /> Park Reservation Receipt <br /> Park Reservation Receipt <br /> Name of Event: L.G t,% t r 4 Dot LA– / A - <br /> Date(s)of Event: b •I S ! T Name of Event: c C Z.; ( ,,,'�4 . 7i-op.,(�C <br /> Park Location: lT. l<-,Z.'(7-e;•._ S Date(s) of Event: 2S-/ . <l 1 i <br /> -------------------------------------__ Park Location: /=1. F <br /> Standard Use Permit o $15.00 ❑ $30.00 $ '------------�-�-- - <br /> Special Use Permit er$40.00 ❑ $80.00 $u — , Standard Use Permit ra-$15.00 0 $30.00 $ 1 C. <br /> _____________ ; Special Use Permit 0 $40.00 ❑ $80.00 $ <br /> ❑Alton Baker Park Shelter#1 $ '– -'--'-- -- <br /> o-Alton Baker Park Shelter#2 $ ErAlton Baker Park Shelter#1 {$ ,2 5'""t 4,14.1.e. <br /> o Alton Baker Turf Area# $ o Alton Baker Park Shelter#2 $-- <br /> ❑ Hendricks Park Shelter $ o Alton Baker Turf Area# $ <br /> o Owen Rose Garden $ ❑ Hendricks Park Shelter $ <br /> ❑Owen Rose Garden Chairs (optional) $ • ❑ Owen Rose Garden $ <br /> • ❑Washington Jefferson Park ❑ Owen Rose Garden with Chairs $ <br /> ❑ Other Facility Fee $ o Washington Jefferson Park <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ o Other Facility Fee $ <br /> ❑Vehicle Access Permit o$10.00 ❑ $25.00 $ o Bike Path Walk/Run/Bike Event Fee $ <br /> ❑ Event Security Deposit $ ❑ Vehicle Access Permit❑ $10.00 o $25.00 $ <br /> ------------- <br /> ___--___-----_-----___-_--_- ❑ Event Security Deposit $ <br /> Fee(s) a Check#g- 3L/0❑ Cash $ 4-!U . — - ------------------------------------------------------ <br /> • <br /> Deposit(s) ❑ Check#.. o Cash $ lie <br /> Fee(s) o-eck# -7 5�o Cash $ <br /> Total $ 1-1U. Deposits) ❑ Check# ❑ Cash $ �, <br /> Total $ r -1 <br />