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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space4 1 1\I I 6.,. <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402• <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT q <br /> Date 0 ' S', 201 ll £2L100 ' 1 50 ii. 3)D <br /> From 5/91,i-141-14 <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> I St46e/1 ±A-Le i ' " / <br /> Af°1.- C <br /> / 4 O <br /> sr - f -q- - 00 <br /> ' 1v1n -0S3o8 <br /> TOTAL 4o , C <br /> Payment: ❑ Cash Ni Check# 1 22-(.PS 0 Credit Card <br /> Received by alii41/1 /�. <br /> / ;(, <br /> r — Y-r.-r. - 3,1.,1, tTffCyTie;P1-4,7 .t#1:,/-VAP[I-Dulm•lz7 a _- ------ --- <br /> w regon ;; 975 Oak Street,Suite 625 122650 <br /> Pacific Ba • 541.636-4804401 <br /> REMITTER: SPRING KNOLL LLC <br /> 12/13/2017 <br /> Pay to the <br /> Order of CITY OF EUGENE $407.15 <br /> Four Hundred Seven and 15/100 <br /> Cashier's Check <br />