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15561
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15561
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Last modified
3/7/2018 1:39:30 PM
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3/7/2018 1:39:28 PM
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_ _ _ . - r <br /> City of Eugeneri t 7 ye moi ' ( 7 / S - • 1 <br /> Public Works Maintenance / r� '� 'I ' 1 I ' i V <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele T (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> "2:1RECEIPT <br /> Date t¢' -T:e-g 261& • <br /> From )A-4 ec , c kYI I r. <br /> Address ci9 2 120 N7)0,7 AJZNv1 V . <br /> City/State/Zip 5S (-F,�� 04-- 11401 <br /> Quantity Description Amount <br /> 0) O ^ r`J ��E_. R'4-9-iz Porio&'i L€ . <br /> I <br /> , FrtrifS /AA aN <br /> P�1irr}k 2 `e* 1 <br /> TOTAL <br /> Payment: 0 Cash g'Check# 2181, 0 Credit Card <br /> Received by 4.4 o 1 S An44-7--Jltd-- <br /> �lM a <br /> James Schmidt 2182 <br /> Nancy A Schmidt 96-5091232 <br /> 0993 Robin flood Avenue 2..2,7 .t <br /> Eugene,Oregon, 97401 Date <br /> Pay to the $750 <br /> Order of CLT`( Qg L-Ur_04.= E 07 <br /> us. f--4.1‘ t.{ G Ato '<CP r mo—Dollars 8 �,,, <br /> if rc. <br /> /�� <br /> UM®A• <br /> NA� WO0.666-44647621.666-4/647621 �1.�MM..v� <br /> • •For <br />
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