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105647
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105647
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Last modified
7/26/2017 9:06:11 AM
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7/26/2017 9:06:10 AM
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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space 041,1411NL <br /> 1820 Roosevelt Boulevard �. <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 Eugene <br /> Fax# (541) 682-4882 <br /> RECEIPT <br /> Date/. 2 - I —1 <br /> From To 14 3(D111,---S — <br /> Address <br /> City/State/Zip <br /> • <br /> Quantity Description Amount <br /> CO Y.1 <br /> ) <br /> cC •in r LR c. t►T1 G 6:- bi tJ <br /> 536-9%SS' -4�5'b� — S .Zo8 .1S -- <br /> 536 <br /> 53b - 0000 = I )blot �1 <br /> TOTAL —/ D <br /> Payment: 0 Cash 0 Check# cCredit Card <br /> Received by <br /> • <br /> • <br /> CITY OF EUGENE POS <br /> 1826 ROOSEVELT BLVD • <br /> EUGENE, OR. 97402-4159 <br /> 541-682-4812 <br /> 11111111111111112 Sale • <br /> xxxxxxxxxxxx1912 <br /> VISA Entry Method: Chip <br /> Total: $ 9,970.50 <br /> 07/25/17 14:02:04 <br /> Inv 1: =0004 APPr Code: 061486 . .• <br /> tP.V >I VISA �prvd: Online <br /> Tl�'1 13u�i y ONE VISA <br /> .�idUA33IC 4x�Oi: t�(aV. L (.2 Signature RIO:CAPITAL ALONEV11010 <br /> IVR: 00 80008000 <br /> ISI: F8 00 <br /> I agree to oar above total amount <br /> according to card issuer agreement <br /> (Merchant agreeoent i redit voucvoucher) <br /> v 8OLES:TOOD <br /> Merchant COPY <br /> THAN(YOU! <br />
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