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~ ~ Lane County Department of Public Works Receipt No 2375 <br /> Facility Permit - ReceipC of Payment <br /> Lane County Public Works ~ <br /> 3040 N. Delta Hwy. <br /> Eugene, OR 97408 <br /> (541) 682-6so2 . <br /> perAtit 070577 Receipt date 04/1972007 <br /> ~teCeipt >:or TTY OF EUGENE- GINGER PERALES <br /> 58 PEARL ST <br /> UGENE, OR 97401 <br /> <br /> ~I ~ S Z <br /> M®thod of Paym nt Mastercard <br /> 4mount Paid $350.00 <br /> Ytems paid ~ Amount <br /> Permit Fee Road Construction $350.00 <br /> Total $350.00 <br /> I <br /> ' LAtIE COUIIIY PUBLIC WORR <br /> 3 40 N DEliq HWV <br /> EU E, OR, 91908.1696 <br /> iERMhigl LD.: HB24HBY <br /> MERCHANT M: <br /> 9588144916 <br /> MC PCpRD <br /> '~~~k671 t 1 ~ ~ <br /> SALE `i ` <br /> BAiCN:080741 INU: 800003 <br /> DAiE: APR 19~ B 1IME~ 13x53 <br /> AUS RESPONSE; y gU1H: 040489 <br /> i <br /> I <br /> ~ TOTAL $350.0Q <br /> i <br /> I <br /> I <br /> I I AGREE 10 PpV ROVE i01gL AMOVIIi <br /> ~ SMERCHANIHA6REE~H IFSCRED1IRUOU~CNER) <br /> Thank you for your payment <br /> CUS10 R COPY <br /> . • <br /> I' <br /> 04/19/2007 THLT 14:39 (JOB N0. 9174 ~ 002 <br /> <br />