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CITY(A EUGENE POS ` 6-73 5 <br /> 182e ROOSEVELT BLVD 7 <br /> LUGENE, OR. S7402-4158 enance G <br /> 541-682-4812 and Open Space <br /> ulevard <br /> Phone Order $oo <br /> zzzzzzzzzzzz9320 882 . .0 4 kl I I,, <br /> VISA Entry Method: Manual Eugene <br /> RECEIPT <br /> Total: 500.00zo <br /> ti054lil15:58:35 1-L <br /> v <br /> Inv q: Onm,mr Appr Code: 878300 1 <br /> goorvd: Online <br /> OS Code: s v <br /> . CUV2 Code: NOTCH M <br /> min <br /> Description <br /> Custoaer COPY 4 e^) oS_ Amount <br /> THANK YOU! �� 6 a��� <br /> PO t}Og--1-1 L.E, <br /> - 1N7°S MIN . <br /> 1lrrchgnt Cony 1 I 34 V n Q L.THAW VDU! C l� ►v Y�b 1 <br /> 1 ) N v...)le 1d,g_j's C <br /> le=e4.€4.... MIN <br /> TOTAL <br /> Payment: 0 Cash ❑ • <br /> � U s <br /> Check#-_ <br /> Received. by p i S Credit Card ;' <br /> oC.D <br /> / I <br /> ❑ !have read and understand the donation policy. • May we lit your name on our Yes❑ <br /> No 0website Donor Nal!of Fame? <br /> Donations are tax deductjfi e <br /> • <br /> Method of payment 711an1€ yau <br /> .❑ ECheck made p to to City of <br /> ugene <br /> r .4„., ., _,,..„,, . <br /> e ,..„8 ��afor your <br /> PISA ,: a <br /> I Credit Card# <br /> ❑ Exp.©a--ip <br /> generoyyo,t: <br /> s1Io0 .:3goo (448 cozo <br /> Mail completed form and donation to: t X r 6,4102f e 013 <br /> Clara haulerC•P • <br /> Parks and Open Space Marketing and Outreach <br /> 1820 Roosevelt Blvd <br /> Eugene.OR 97402 <br /> •¢ $ V Jr N 6 <br /> Questions? Contact: F --" j 1� {10 a � ���fi <br /> (541)682-4908 or cdara.t-nlats(er ci.eugene-or-us ! <br />