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z x- 9335 -"i -1gZo <br /> CITY OF EUGENE POS itenance <br /> 1826 ROOSEVELT BLVD s and Open Space r^cam <br /> EUGENE. OR. 97462-4159 ulevard • <br /> 541-682-4812 <br /> 2 <br /> Phone Order -4882 Eugene <br /> zzzxzzxzxzzx9866 RECEIPT <br /> VISA Entry Method: Manual <br /> Total: $ 500.00 di' Z 6 11 <br /> AAA VP . --- lip Na <br /> 5541/17 15:59:27 (E"' - O ' _ o, <br /> (nv II: NI;l„s? Appy Code: 978260 •-� ' a = - • a <br /> Voprvd: Online <br /> VS Code: Descri•tion <br /> VP Code: MMTCM M Amount <br /> O-44 tzoS • A 4'S00: - <br /> Customer COPY <br /> THANK YOU! V74 v(L-r 4 .- Z Civ Yin . <br /> I rJ 1--0\1MPn4o(-.I,. <br /> Merchant CoPY CUv I IMFt • 4' \I-,1'�oL PQ r4,1 M ,l <br /> THAN(YOU! <br /> TOTAL <br /> 40__ <br /> Payment: 0 CashO Check# i <br /> .a2`.redit Card <br /> Received by ■u d Jot,1 KUV-1veif--- <br /> 0 B!,rave mid amid understand We 1Sara6201 p•Ge:y "ax we list 05 tort- Yes <br /> website Dorpca5 Kg q,4Pane <br /> o-tatiores are tax a ed ti6C fMetltc+ of a tent <br /> Truni ou <br /> ® cher..er..:made oayaWa to City'o`Eugene <br /> 438(5 7o.I O 16Z °10144 for <br /> your <br /> LI yis4 I Credit Card v <br /> irj Exp..Date. ____i_..,_ 1. generous volt! <br /> • Li . <br /> _______ <br /> Mail completed form and donation to: <br /> Clara Matder • <br /> Parks and Opel She Plarrni:=g <br /> /BM Roosevelt Bivd . <br /> OR 974112 <br /> Qao tiot� Cont-d I ! ,' w1►� <br /> 541) 2-490 or slarattna�FeccB.ectne v�.uzc�cnr, <br /> roA)-. f S..> k M,44,1:,,(j (45 ) i'f sp <br /> ----V- <br /> car t-40 F�rro - o� -- 1r G"N't" . <br /> -e, �,,, <br /> 151 - &3 - 4117 <br /> p <br />