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T <br /> of Eugene AP City of Eugene <br /> c Works Parks and Open Space Public Works Parks and Open Space <br /> Roosevelt Boulevard Eu§ent� Eug - <br /> 1820 Roosevelt Boulevard <br /> .ne, OR 97402 Eugene, OR 97402 <br /> Park Reservation Receipt Park Reservation Receipt <br /> le of Event: 13CCT CO . 8661-- Name of Event: i' . n-4 `�g(' <br /> :(s) of Event: 91/7/17 Date(s) of Event: 9b /17 <br /> Location: 1 v_l/ '-n Park Location: (34.-1-tot <br /> Idard Use Permit 15.00 o $30.00 $ !S. - Standard Use Permit o $15.00 43130.00 $ 30 <br /> :ial Use Permit o $40.00 o $80.00 $ Special Use Permit o $40.00 o $80.00 $ <br /> on Baker Park Shelter#1 <br /> $ i ❑ Alton Baker Park Shelter#1 $ <br /> on Baker Park Shelter#2 $ o Alton Baker Park Shelter#2 $ <br /> on Baker Park Entrance Shelters $ o Alton Baker Park Entrance Shelters $ <br /> on Baker Turf Area # $ o Alton Baker Turf Area # $ <br /> ndricks Park Shelter $ o Hendricks Park Shelter $ <br /> ien Rose Garden $ o Owen Rose Garden $ _ <br /> ten Rose Garden with Chairs $ o Owen Rose Garden with Chairs $ <br /> iversity Park $ o University Park � n $ <br /> S. ' . <br /> ier Facility Fee $ a -Other Facility Fee QQ $ '-S <br /> e Path Walk/Run/Bike Event Fee $ o Bike Path Walk/Run/Bike Event Fee $ <br /> iicle Access Permit o $10.00 o $25.00 $ o Vehicle Access Permit o $10.00 o $25.00 $ <br /> 3) I-G`heck # 1-/O 7 o Cash $ Fee(s) 2--heck # 'NO-- o Cash $ <br /> Total $ q o•___ <br /> Total $ 5-5 <br /> JULIE K.DEBORD 760ERIC M.DEBORD <br /> PO BOX 374 24.201/1230 <br /> DEXTER,OR 97431 /2'ie//7 6I <br /> pcsy to tCrt dote <br /> a ozcTer of La o1' 6�J.o�,,--�, I $ 6 <br /> 750 <br /> sty r i itis cAI `� rr, <br /> do11ers In :;: .I' <br /> OMRKeyBank National Association <br /> 1300•KEY2YOUm Keycoe <br /> ...001111111111.11.11:0_ / <br /> for �,A- :�-�-,��G -- — _—/ <br />