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City of Eugene - —<..-- - <br /> Public Works Maintenance .4 <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard "....+f <br /> Eugene, OR 97402 4�' Eugene <br /> Tele # (541) 682-4800 -7-421-631-6 — <br /> Fax # (541) 682-4882 <br /> r <br /> RECEIPT <br /> Date VI6GTZ0► -j i <br /> From f..A-E'g-/ki D .J A LLE N('F1 e.dKLe_,BPc1.-L-- LJ ' / <br /> Address 14 K"--ri}-jQ t,6-1 GT• <br /> City/State/Zip 5 P t2\ri rs {t R 6(7—. °f 7/fl 1 <br /> Quantity Description Amount <br /> (I 2(47.-1,-.,..‘ .....te_._. 1'i w_i_,6_,‘:3fv-2,./._ nk_ht---/- 45, 1100 •;-- <br /> 124 r' 1•R-•( i o f S g STM ok PLk,•vi <br /> i11L <br /> TOTAL ' 100 <br /> Payment: ❑ Cash Check# oI' 0/ZS 0 Credit Card <br /> Received by "Tel`A^ WC6e-C-1 !.o Sh ‘.1 ' .--,-,..A.-._-_,A <br /> 4i-'1i 417 • 1 • t ; r '1.11, <co &D O l 5 25 2 - l oD o <br /> EMERALD VALLEY P/CKLEBALL CLUB 1 .z: - ; <br /> 19 IN FI ED SELCO / (841)00)445-4483 <br /> SPRINGFIELD OR 97477 www 44co.org <br /> 541-214-4940 COMMUNITY CREDIT UNION www.selco.Dfg 0 0128 <br /> 96-7444 <br /> _. ,�'``_ /e' -/2 -'7 3232 <br /> /` TiDATE <br /> _.� :- <br /> PAY G / l Cl':-E- tel-/.r/✓ Q % Ge-) Wi <br /> To The Order Of: ~ C,P eh <br /> CVC T�,.l1'/1.7 ei A.Y /'(ji,t/,c- •41/41-0- Dollars <br /> 22h <br /> i <br /> (iEM3 <br /> .. _ <br /> IA Uns ND P� . P6 P= AG-iv1� ( <br /> q 61 go0 q 40'Y? 11- 77 co ell 11C2-61 0000 /2.EV <br /> (604/ti.c).1 <br />