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'"'tet\ Cityof Eugene 4. ,:;1 <br /> City of Eugene ��, <br /> Public Works Parks and Open Space C' • Public Works Parks and Open Space ` <br /> 1820 Roosevelt Boulevard 1820 Roosevelt Boulevard <br /> Eugene,OR 97402 Eugene,OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> 2010 ? Y tr <br /> Name of Event: . Name of Event: :� (( 1 � j! �i i <br /> Date(s)of Event: H./-I'Yt, 1 a- L - ^ Date(s) of Event: '1,15-rr " <br /> Park Location: DLJ-+ �! l,; I)(f dl-- Park Location: 7-v-cl itl.(,i <br /> Standard Use Permit 0 $15.00 0 $30:0 $ — Standard Use Permit 3-$15.00 o $30.00 $ 1 5 <br /> Special Use Permit 0 $40.00 2'$80.00 $ Special Use Permit o $40.00 o $80.00 $ <br /> ------ <br /> ❑Alton Baker Park Shelter#1 0���' _$ ❑Alton Baker Park Shelter#1---------------------- — $ <br /> o Alton Baker Park Shelter#2 1/1i 1 ;- r o Alton Baker Park Shelter#2 $ <br /> o Alton Baker Turf Area# ( ❑Alton Baker Turf Area# $ <br /> o Hendricks Park Shelter (, o Hendricks Park Shelter $ <br /> o Owen Rose Garden v ` ./$ ❑ Owen Rose Garden $ <br /> ❑ Owen Rose Garden Chairs (optional) 5 $� ❑ Owen Rose Garden Chairs(optional) $ <br /> o Washington Jefferson Park v ❑Washington Jefferson(Parkl <br /> o Other Facility Fee $ — Q,Other Facility Fee 5 r. LI, -,-. $ ,•r <br /> 0 Bike Path Walk/Run/Bike Event Fee A___ a Bike Path Walk/Run/Bike Event Fee $ <br /> ❑Vehicle Access Permit❑$10.00 o $25.00 $ a Vehicle Access Permit❑$10.00 o $25.00 $ <br /> o Event Security Deposit $ o Event Security Deposit $ <br /> Fee(s) 0 Check# 0 Cash $ Fee(s) ,./.4-o Check#. , %' ❑ Cash $ <br /> Deposit(s) ❑ Check# o Cash $ Deposit(s) 0 Check# 0 Cash $ <br /> l � �` Total /$ Total $ r <br /> ' , i' /Z--GSr <br /> , <br /> C"� rtifw ii " ,I if;-5./; <br /> Cityof Eugene ::f> <br /> City of Eugene !"•. ..� Public Works Parks and Open Space �f <br /> . <br /> • Public Works Parks and Open Space *54' <br /> ?-..-..,-re'' . r820 Roosevelt Boulevard1820 Roosevelt Boulevard Eugene,OR 97402 <br /> Eugene,OR 97402 <br /> if 0c4- ke-v, 2/� <br /> Park eservation R eipt • <br /> Park Reservation Receipt i) ?/'„T <br /> Name of Event: - 1--P zl.(ct. M 4Adhe-t-- (0. p Name of Event: • tt t ciaI . T re-01-4V �Cr•1 <br /> Date(s)of Event: Y f ' /1 ) Date(s)of Event: /0. //.f:; 7 <br /> Park Location: - � ,r7 -rr !� <br /> Park Location: , ( • T <br /> ------ <br /> Standard Use Permit❑ $15.00 ❑$30.00 $ Standard Use Permit o $15.00 0 $30.00 $Special Use Permit X40.00 ❑$80.00 $ 51r; — <br /> Special Use Permit 2-$40.00 0 $80.00 $ 0, X_ - —_-_ <br /> __-__-_-____-----------------_-------------------------_-______. <br /> ❑Alton Baker Park Shelter#1 $ 0 Alton Baker Park Shelter#1 $ <br /> Alton Baker Park Shelter#2 $ <br /> crAiton Baker Park Shelter#2 $ / / C.' o Alton Baker Turf Area# $ \ <br /> ❑Alton Baker Turf Area# $ ❑ Hendricks Park Shelter $ 1 <br /> ❑ Hendricks Park Shelter $ 0 Owen Rose Garden $ / <br /> ❑ Owen Rose Garden $ 0 Owen Rose Garden Chairs (optional) $ <br /> o Owen Rose Garden Chairs (optional) $ ❑Washington Jefferson Park <br /> ❑Washington Jefferson Park ❑ Other Facility Fee $ <br /> o Other Facility Fee $ o Bike Path Walk/Run/Bike Event Fee $ / <br /> ❑ Bike Path Walk/Run/Bike Event Fee $ ❑Vehicle Access Permit❑$10.00❑ $25.00 $ <br /> 0 Vehicle Access Permit o $10.00 ❑ $25.00 $ <br /> 0 Event Security Deposit $ 0 Event Security Deposit $ `, <br /> - <br /> Fee(s) crCheck#1 " ^ o Cash $ Fee(s) a-Check# ❑ Cash $Deposit(s) 0 Check# ❑ Cash $ Deposit(s) ❑ Check# 0 Cash $ <br /> . Total $ t C,--- I 0 -.7k0 {1 / Total $ i) ' . <br /> I b 1'/S5 <br />