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103974
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103974
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5/25/2017 1:10:50 PM
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5/25/2017 1:10:49 PM
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• City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space OA\ <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date S • 18' 1� <br /> From (`'N_ >— c2 /C( St-trcv. I c- <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> 2 2-0. <br /> I / D tti 2 Co, ckut <br /> cr1—c)1. 7D5 _ Li O/ TOTAL <br /> Payment: o Cash • Check# Credit Card <br /> Received by /1 1111 � - <br /> I <br /> • <br /> CITY Of EUGENE P06 <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> 541-6824812 <br /> Phone Order <br /> xaxxxxxxxxx5714 <br /> VISA Entry Method: Manual <br /> Total: $ 20.00 <br /> 05i18/2 11,18.16 <br /> Inv 4: 0=2 APPr Code: 214825 <br /> • Aoorvd: Online <br /> AVS Cole: <br /> CVV2 Code: MATCH M <br /> I agree to gar above total mount <br /> accordln9 to card iawer agreement <br /> (Merchant agreement if credit voucher) <br /> Merchant Coag <br /> TITAN( YOUt <br />
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