C.t,of E.ga.e — <br /> Push,:WCcks Parks art,Open Space <br /> 1820 Roosevelt souRvara <br /> Eugene Eugene.OR 97402 <br /> . Park Reservation Security Deposit <br /> Name of Event: c / d2n.u. ] env <br /> Date(s) of Event: . 1/. /8 <br /> Park Location: I /Tca,L /S <br /> 2ton Baker Park o University Park <br /> ❑ Hendricks Park o Other Park <br /> a Owen Rose Garden ❑ 2017 Season <br /> Event Organizer: Al/ILL 7-01A COL <br /> Address: 3d/7 /f/V-;\ <br /> Sl?Frr' dK 97c)7$ <br /> c Check# c Cash <br /> Totals / SO <br /> •-- <br /> Returned: <br /> o Mailed/Picked up on: (Date & !nit ) <br />