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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 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date 1D - 2oJ ��(u�r <br /> From —5V\73 <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> \r\--(t417CA Tri 07{— ratiz- <br /> 131- Ve7 a 455aob-3/ <br /> TOTAL 500 <br /> Payment: 0 Cash 004 Check0 ❑ Credit Card <br /> Received byjhcV <br />