City of Eugene S7 - 9 33� -4/1z0 <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard • <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 C <br /> Fax # (541) 682-4882 • Eugene <br /> RECEIPT <br /> Date (10J v(*re, 2.01 <br /> From v { .Lr <br /> Address ° V <br /> City/State/Zip V, 7110 - , , <br /> 0 <br /> - Descri.tion <br /> Amount <br /> IP fA 4 0Dv ao • <br /> MIN 6) (3,1 F-os-e, 6A 11111111111 <br /> QL G'.r P 1,"L . 4 o <br /> • 11111111 <br /> 111111111 <br /> TOTAL <br /> Ove <br /> Payment: 0 Cash Check# <br /> 0 Credit Card <br /> Received by iV CJ t5 k_h, e • <br /> • <br /> • <br /> • <br />