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<br /> • r _ Lane County Department of Public Works Receipt No 2631 <br /> - I <br /> Facility Permit -Receipt of Payment <br /> Lane County Public Works <br /> 3040 N. Delta Hwy. <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> P rmit 071065 Receipt Date 10/02/2007 <br /> eceipt For C TY OF EUGENE- GINGER PERALES <br /> 8 8 PEARL ST ,y <br /> E GENE, OR 97401 Jf`)( <br /> N~ethod of Payment Mastercard <br /> Amount Paid $350.00 <br /> terns Paid Amount <br /> ermit Charge Additional fee costs $350.00 <br /> Total $350.00 <br /> LNHE COUNiY PUBLIC b10RK <br /> SHERRY - <br /> 541 682-6916 <br /> EUGEIIE~ OR. 914G8-1636 <br /> iERi9IiIflL LD.~ 00113400009`OO'4»9'60? <br /> ;HNNi q. 9500244916 <br /> ~CflR0 <br /> ~~~~~~i'>k~6110 ~ <br /> ;ILE <br /> ;ORD N; 3 INU; 000003 <br /> .E. OC1 07. G7 iIPIE. 16;02 <br /> fCH~ 798 <br /> flUiH; 041064 <br /> S RESPONSE; IJ <br /> NO PIpiCH ON ADDRESS OR 2IP <br /> TOTAL X350.00 <br /> I flGREE i0 PR4 flBOUE i0iflL pPIOUNi <br /> i flCCDRDING i0 GARD ISSUER RGREEi9ENi <br /> i19ERCHflNi flGREEI~IENi IE GREOIi VOUCHER. <br /> CUSTOMER COPY Thank you for your payment <br /> O C T 0 5 2007 <br /> <br />