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2387654 <br /> 9± 5725 • <br /> 01-22-2018 - . -- _. <br /> • <br /> .........150.00 <br /> =' :1 City of Eugene ,. _ <br /> Ir. , <br /> ed Fifty and 00/IOD• <br /> t - <br /> Mmo <br /> e . - r - <br /> = r <br /> Lr� ;ref <br /> Eugene <br /> V.l Pu?5C w«Pyw yid Cu.,Saw <br /> 9j- �' 1820 Rwseye Bauevad <br /> QTY E:rsare.OR 9]402 <br /> 0 <br /> Park Reservation Security Deposit <br /> Name of Event: S vc:LI- � <br /> �/ \ J � .� .: �� ip �rY•L <br /> Date(s) of Event: - • ; <br /> CP uran <br /> i\-\\\0.:(-\ <br /> ��° ko ParkrL ocation: `� ' - - use <br /> ti job a'Alton Baker Park� 5 <br /> � * \ ` W a Hendricks Park a Cher Park Park <br /> �( a Owen Rose Garden a Other <br /> \ � ❑2017 Season <br /> --------------------- ileS1 <br /> 5 � Event Organizer; tit La <br /> \ � fu <br /> -I- <br /> Address: . 0✓7 i�(=t4rt S% =r: <br /> 61,4371,4___-- <br /> ,1,. i /: g-:‘,-15 <br /> ❑ Check# <br /> -------------- <br /> o Cash <br /> w <br /> Total$_._--_ _- <br /> --- - ------- <br /> ----------- <br /> Returned: <br /> c Mailed/Picked up on: rtifica <br /> ------- (Date& Init.) <br /> -------------- _____________ <br /> 0 Credit Card# _ - --- ) <br /> Exp. CSC Code Zip Code ev <br />