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City of Eugene 400\ -i`rC <br /> Public Works Maintenance / ' <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard _ri J <br /> Eugene, OR 97402 Eugene <br /> Tele # (541)682-4800 <br /> Fax # (541) 682-4882 <br /> JJ, 7 RECEIPT <br /> le <br /> Date LL 1b G-u 5 <br /> From RiiG.1 t tci9 <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> '1 kCIC n ✓ IS LS ILA) -CL) <br /> ✓ C ! ' ) C; lD 187-• I . <br /> - i�:Li�l•�J <br /> c <br /> I $40 c) /* 261;1- I i t& . 1 <br /> It-V C 2.j C - 4Hi 2 - 1'31 -3 i L} TOTAL <br /> Payment: ❑ Cash ❑ Check# ❑ Credit Card <br /> Received by 7y` ' <br />