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Lane County Department of Public Works Receipt No X374 <br /> Facility Permit ~ Receipt of Payment <br /> ~ ~ r Lane County Public Works <br /> 3040 N, Delta Hwy, <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> permit 070576 Receipt Date 04/19!2007 <br /> !Receipt For TTY OF EUGENE- GINGER PERALES <br /> 58 PEARL ST <br /> UGENE, OR 97401 <br /> <br /> 3 <br /> ~J' 1 ~ <br /> Method of Paym ht Mastercard <br /> I <br /> • Amount Paid $300.00 <br /> Items Paid Amount <br /> Permit Fee Commercial Driveway $300.00 <br /> Total $300.00 <br /> I <br /> I <br /> LRIIE CD IIiV PUBIIG WORK <br /> 3048 II DELTA RWV <br /> EU6ENE, DR. 974DB-1636 <br /> 1ERMIHRI LD.: N014NOV <br /> • <br /> i <br /> j hIERCHRNT q• 9500144916 <br /> ~ PCRRD <br /> ' Rt~6710 ~M • <br /> SALE <br /> ' BRTCN~ 000741 INV. 000041 <br /> DATE= pPR 19? O7 ills= 1352 <br /> pU1H= 089976 <br /> Rus RESPONSE= V <br /> TOTAL 1380.00 <br /> • <br /> i <br /> I pOREE TO PRV BOVE T41pL RF10U111 <br /> RCCORDIN6 TD CA ISSUER RGAEEMEHT Thank ou for our a ment <br /> (hERCNpNT p6REENEII IF CREOiT VOUCHER? y y P Y <br /> c~sTD coca <br /> w. <br /> 04/19/2007 TYU 14:39 (JOB N0. 9174 X001 <br /> <br />