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City of Eugene - - - - <br /> Public Works Maintenance .` - - <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 <br /> Tele * (541)682-4800 Eugene <br /> Fax # (541)682-4882 <br /> RECEIPT <br /> Date <br /> From <br /> Address - - <br /> City/State/Zip <br /> Quantity Description Amount <br /> • <br /> • i - . <br /> TOTAL <br /> Payment: 0 Cash 0 Check# Q Credit Card <br /> Received by - - -- <br /> CH/ CF ELME P05 <br /> 1829 ROOSEVELT BLVD <br /> • EtrlNE. Ui. 974[72-4159 <br /> 541.662-4812 <br /> Phone Order <br /> n00000000mfi11S <br /> VISA Entre Method: Manual <br /> Total: $ 2.500.00 <br /> 91418 14:25:(tO <br /> Inv I: ' rti f poor Code: OM <br /> pound: Online <br /> NS Cade: <br /> CWY2 Code: M TDl <br /> I agree to DO Wore total amount <br /> according to card issuer agee+ent <br /> (Merchant asreeant if credit voucher) <br /> Merchant Cors <br /> DM(VOD! <br />