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City of Eugene <br /> Public Works Maintenance * <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard , .,, <br /> Eugene, OR 97402 �� <br /> Tele # (541) 682-4800 E. <br /> e <br /> Fax # (541) 682-4882 <br /> cor <br /> RECEIPT <br /> Date ( b—1 0 1R <br /> From K i co.,,5 Li_o_.%^C Ln I (Foni'L L <br /> Address O <br /> • City/State/Zip <br /> Quantity Description Amount <br /> L_ a 8`� `' five PO,,e_ P.A.0 1•�C- <br /> LI <br /> TOTAL <br /> (O L <br /> Payment: ❑ Cash Check# `(Da6 0 Credit Card <br /> Received by <br /> L <br /> KIAHSUANG S.LO 4220 <br /> VIRGINIA M.LO 96-7446/3232 <br /> ELIZABETH LO (© j� j / <br /> 1885 E 28TH AVE pcHECK aalulo6 <br /> EUGENE,OR 97403-2529 Date I <br /> i, <br /> i'1 .` <br /> Pa to the <br /> Order of �c(q L2L� IrL�b l iWIZI� r l Lfrei�t�.'`t 0 I jam, c4±7 <br /> �� -M.#---1 —,c1 J 6kt V l,,A/, ; uoudrs �O :1 <br /> w.raaera <br /> VCCU MyOCCU.org 1800.365.1111 <br /> - 41, ..„....ZZ ' . , <br /> itt CD1 /1,-,d t- E . ,Ls-i A...e.:(4,,,LA...- /I___4_____Lp <br /> For <br /> Harland Clarke <br /> L <br />