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14056
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14056
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Last modified
1/29/2018 4:18:13 PM
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1/29/2018 4:18:07 PM
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' City of Eugene ? n .1 r� h7 L 5 Z 1 D�o✓ <br /> Public WorkgMaintenance �-1 1`V 0 ' t,06l Jt , 1 61 • ✓06 -30 9 <br /> • Public Works Parks and Open Space <br /> • <br /> 1820 Roosevelt Boulevard ,....atimpli► <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date JPV,J1/4)-72-f 2-6; 2o16 <br /> From J ?‘,1 -�Md-_5_,,v_.A14A.v <br /> Address 2-g 6S. ` IL_ s e-- <br /> City/State/Zip E r.fe . f O01 -74'd5— <br /> ) & fL <br /> Quantity Description Amount <br /> DvJPrJ iZ6e--- G 37-PN 17.*/4oK.--T1t-e 150'= <br /> cc — �D r4�Ji _. \‘-;\.) 7 -.J • . <br /> TOTAL SO/°--- <br /> Payment: <br /> OPPayment: 0 Cash 0 Check# 1 614. 0 Credit Card <br /> Received by , \ 0� S1'1j1 pgt¢-- <br />• <br /> EVAN M KAUFMAN <br /> SARAH L KAUFMAN 1694 I <br /> 2385 TYLER ST �/ �/ ' ,_ 96-7446!3132 <br /> EUGENE,OR 97405 (O/ tot <br /> Da(e ' 0.&afRbMB <br /> Pay to the 0 L / In <br /> Order of " <br /> (ff <br /> l I $ 7Or,5C-4o Q <br /> 22M ' ham-`('K V-z fli o g-. Dollars <br /> 0•12.10 <br /> QOREGON <br /> COMMUNITY MyOCCU.org 1800.385.1111 <br /> EDIT UNION <br /> ...._...•.......a.77. <br /> For <br /> wnsle asks <br />
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