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City of Eugene <br /> Public Works Maintenance / 1' <br /> 9333 , L/7612-6.Q/3282 <br /> Public Works Parks and Open Space �'J (�(/ I <br /> 1820 Roosevelt Boulevard "egi _ <br /> Eugene, OR 97402 Eugene <br /> EU <br /> Tele # (541) 682-4800 g <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date ail 03-- <br /> From <br /> Address �-O t - , <br /> City/State/Zip <br /> Quantity Description Amount <br /> / ArlA6L,6-X_A Pick.U.fr,L,U_ _.5-00, --"" <br /> • <br /> TOTAL SOL <br /> Payment: Cash C-1'Check# _. ---63 ❑ Credit Card <br /> Received by MV-1011-- <br /> Ll <br /> DR EMORY F SUMMERS 5637 <br /> JOYCE SUMMERS I 96.7346,/3232 <br /> 2647 VALLEY FORGE DR. 541-344-5897 r9— 2Z_— 103 <br /> EUGENE,OR 97408Date -, <br /> Pay to the , <br /> Order of - �r . $:.5- <br /> -., <br /> 1 Zil ilq-jAM M I PP'')III1Pr.dr A r —......r• :. .6 0. ". <br /> 0OREGON <br /> COMMUNITY MyOCCU.org 1800.365.1111 <br /> ''CREDIT UNION / <br /> / r I C. '/ <br /> For ...... <br />