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OpenSpace Donation 'onn, <br /> Donor name: /4'c ��G/t- <br /> Donor organization (if applicable): <br /> Home phone:541 r 2Zi' 2442phone: E-mail: <br /> Address: pc. & Jr7 ar 97yo3 <br /> Park for donation: /� <br /> Item description and location code (if known): — 3— / e(e <br /> Proposed location: <br /> ..______. <br /> Donation amount: Ef. - l[/ . <br /> Special requests: <br /> Inscription: <br /> l <br /> ri I have read and understand the donation policy. 'VG /OZGy P7-do/e ei <br /> Donations are tax cCecCnetibCe <br /> Method of payment: ank yo <br /> u <br /> n Check made payable to City of Eugene <br /> for your <br /> ri VISA J Credit Card # <br /> _1generous s ort! <br /> Exp. Date <br /> Mail completed form and donation to: <br /> Heidi Schroeder <br /> Parks and Open Space Planning <br /> 1820 Roosevelt Blvd <br /> Eugene, OR 97402 <br /> Questions? Contact: <br /> (541) 682-4902 or heidi.l.schroeder@ci.eugene.or.us Eugene <br />