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4119 2 o v o1(ag of • I S. 30?) <br /> City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682-4800 <br /> Fax # (541)682-4882 <br /> RECEIPT <br /> Date 2° Maeckzol6. <br /> From ,ANIPr 1.4EA)T-e�L- <br /> Address Z I S4- '- IN C OL-r.1 5f (Lf) $T <br /> City/state/Zip r\it,-Prl e, OCL ak-1406 <br /> Quantity Description Amount <br /> poa-1-10/ 1 2v , 116°4)191:– <br /> PA-17 Den tca, 7E0 3A )e--1 Key-Fere- <br /> TOTAL 5 000 _rtigrr — <br /> Payment: ❑ Cash Check# 5 353 'p-"-r"'—' <br /> Received by _)4-e/ 0� 5i `r 'V� <br /> DS01N -€Av <br /> P of eb-ef CAMEZ <br />