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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 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date // lb — IL —Ig <br /> From l�1 I nY11f" . LCD Q0.42.0 1U I c�L1 b6\--- <br /> Address <br /> — <br /> Address <br /> • City/State/Zip <br /> Quantity Description Amount <br /> 1"G-0e wt, iroJ se 4- <br /> TOTAL `a <br /> /DOD <br /> Payment: ❑ Cash Lati eck# ' ❑ Credit Card <br /> Received by 1< <br /> •L <br /> VIRGINIA M.LO 8180 <br /> PAUL NICHOLSON 24-201/1230 <br /> 1855E 28TH I GK/g I Q 67 <br /> EUGENE,OR 97403-2529 A- /' Date! <br /> Pay to the $ f , t'Q <br /> Order of1�L �J 0 <br /> (�j,L 7 6'j-tt.aivv-ei 4. JI`pt/v7 Dollars el PhotoN <br /> KeyBank National Association Key Privilege Select <br /> 1800&KEY2YOU°Keycoma <br /> For <br /> Calf" ?-� ' ✓�G� t_YL�1+i r!J�-^ '_ __ "� <br /> Marland clerk. <br /> L <br />