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City of Eugene <br /> • <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 `".�.�r� <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date '--1 — i 3 <br /> From L IVItA \\.►Caik.j /Ke, A-k <br /> Address -� t%55� Lc &Q <br /> City/State/Zip pek-e C. Z 41140 <br /> Quantity Description Amount <br /> C-1 rc4 *r- L{\. <br /> TOTAL <br /> Payment: ❑ Cash heck# SL 1 0 Credit Card <br /> Received by _.A 14... - <br /> ‘10° <br /> DAVID B.WILLIAMS 5616 <br /> PATRICIA C.WILLIAMS pi 24-201/1230 <br /> 2183 ESSEX LANE _ <br /> 60 <br /> EUGENE OR 97403 7.6 <br /> Date cot) <br /> Pay to the <br /> Or of `` ' \` I $1) 1100 <br /> 4-^"L '�V- Y �//�' P�oW <br /> Dollars <br /> 0.N KeyBank National Association Ke Privilege <br /> 1.800•KEY2YOU® Key.com® <br /> iLUFor �. &Jt v) ' I t,�. <br /> . sod Clatite <br />