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I~; 'i.-.'1 I <br /> <br /> _ ~R <br /> ; r I Lane County Department of Public Works Receipt No 2643 <br /> Facility Permit -Receipt of Payment <br /> Lane County Public Works <br /> 3040 N. Delta Hwy. ' , ` <br /> Eu ene, OR 97408 <br /> 9 <br /> (541) 682-6902 <br /> Permit 071093 Receipt Date 10/10/2007 <br /> i Receipt For CITY OF EUGENE- GINGER PERALES <br /> 858 PEARL ST <br /> EUGENE, OR 97401 <br /> Method of Payment Mastercard <br /> Amount Paid $250.00 <br /> Items Paid Amount <br /> Permit Fee Other $250.00 <br /> Total $250.00 <br /> LflfIE COUH?V PUBLIC hIORK ~ ~ <br /> SHERRY 541-682-6916 <br /> EUGEIIE~ OR. 91408-1636 <br /> ?ERI~II"~~ I.D. ~ 001'34OGOO95O02449'60" <br /> i 1 hIERCHHIIi 9500244916 <br /> MC PCRRD ~ <br /> ~~~~~~~~>k~~~6770 <br /> SALE <br /> RECORD 4 IHU, 000004 <br /> DR?E; OCi 10. Oi 1Ii9E; 1S~S6 <br /> BRiCH; 804 <br /> flUiH~ 063442 <br /> flUS RESPOIISE: H <br /> HO hIHiCH OH RDDRESS OR 2IP <br /> TOTAL ~Z80.00 <br /> I flGREE i0 PRV fl80UE i0?Rl. flMOUlli <br /> RCCORDIIIG i0 CRRD ISSUER flGREEMEiI? <br /> i19ERCHRIIi RGREEPIENi 1F CREQIi UDUCHER:~ <br /> Thank you for your payment <br /> CUSTOMER GOPV <br /> <br />