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<br /> 0$/102006 THU 14;4 FAX 541 682 8500 LANE COUNTY P\W DELTA l~~003/UU3 <br /> Lane County Department of Public Works Receipt Na 2080 <br /> I <br /> Facility Permit -Receipt of Payment <br /> Lane County Public Works <br /> 3040 N. Delta Hwy. <br /> Eugene, OR 97408 <br /> (541) b82-6902 <br /> P rmlt 060764 Receipt Date 08/09/2006 <br /> Receipt For C OF EUGENE- GINGER PERALES <br /> 8 8 PEARL ST <br /> E GENE, OR 97401 <br /> L U~or~ <br /> Method of Paym nt Cash <br /> Amount maid $300.00 <br /> terns Paid Amount <br /> ermit Fee Commercial Driveway $300.00 <br /> Total $300.00 <br /> LANE Ui1V PUBLIC WORK <br /> 30 N DELTA HWV <br /> EU6EN ~ DR, 97408-1636 <br /> IERMIIIAL I,D~ ~ N824N6Y <br /> MERCHANT Nt 950UZ44976 <br /> ~ MG PCARD <br /> ~~67 a ~ <br /> SALIt <br /> BATCH. 808564 IHV~ 080004 <br /> ppTE: AUG 19~ fi TIRE: 1405 <br /> AUiH~ 822469 <br /> CUSi CODE 12 <br /> ~ AV5 RESPONSE Y <br /> i <br /> ~ TOTAL 3399.00 08-1 4-06 A07 ~ 4 ~ I P! <br /> I RSREE O PAY A00VE 10iAL Af~VNi <br /> pCCORDIN6 10 CARD ISSUER ROAEEMF1li <br /> (MERCHpHi A REEIfHI IF CREDIT UDUCHER) Thank you for your payment <br /> CUSI~IER COPY <br /> I <br /> i <br /> <br />