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City of Eugene pc— y <br /> Public Works Maintenance tom," ' J" <br /> Public Works Parks and Open Space V `JJ <br /> 1820 Roosevelt Boulevard <br /> Eugene,OR 97402 Eugene <br /> Tele # (541)682-4800 <br /> Fax # (541) 682-4882 <br /> rrvv11 -7� Q RECEIPT <br /> Date 2.0 tT/Lr Imo' J <br /> From k' l,&1 HIV/j <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> ( ) 5cb u i 14 dot iv 7-. 1 l; <br /> 0riaidan i ai4q- I ;-7-. i <br /> L4SCI1a0 - RLYJL- 13t - 314-i <br /> TOTAL L`� wPayment: 0 Cash Check# JN'� oL` 0 Credit Card I J <br /> Received by <br /> ADAM SCHULZ 104 <br /> 3205 VAN BUREN 541-520-1829 �/�%/J 32 <br /> EUGENE,OR 97406 C lei"' <br /> J , 9 2"'091 <br /> • e VVV <br /> n <br /> Pay to the • . `, $ 6 -7, <br /> OrElk ot - - • <br /> i l ,� l(d <br /> 6 <br /> lie. ii - 1 r< , • P jail _ k ' se(Itiirj e -0ota4 a •. <br /> 0 pMM <br /> am <br /> OREGON <br /> GUNITY �'C'U'O1al�'�a'rrrr a <br /> • CREOITOMM UNION <br /> Far /`/-~ <br /> 4147 <br /> MAX B.JORDAN. z`eapn2w 3z n <br /> 85831 Parklane Cir 5890723290 <br /> ' Pleasant Hill,OR 97455-9793 2 — t s -2,0`$ <br /> I (541)34 -395 Cat.�,, VV <br /> Odetrootfhe OF LAS+ 1, C $ ICJ(` <br /> e I'4 <br /> f <br /> �1I. wrn Hryoe.rw.. _ <br /> • .-ynaan <br /> For Ye, pfyaAl1"C'SrC-'� _-- __I ' —____._____h. <br /> 1 <br />