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<br /> ' ~ 09/13/2007 T v 13:19 FAX 5ai 682 8500 LANE CO PAT X002/D0: <br /> I~ Lane County Department of Public Works Receipt No 2606 <br /> Facility Permit -Receipt of Payment <br /> . Lane County Public Works <br /> X040 N. Delta Hwy. <br /> Ebgene, OR 97408 <br /> (541) 682-6902 <br /> ~ Permit 0 1065 - Receipt Date 09/1312007 <br /> Receipt or CITY OF EUGE E- GINGER PERALES <br /> 858 PEARL ST <br /> EUGENE, OR 97401 <br /> Method Payment Mastercard U <br /> ~ _ 5 ~ Amount Paid $250.00 <br /> Items P id Amount <br /> Permit ee Other $250.00 <br /> Total $250.00 <br /> C. ~ LAIIE COOiIiV PVBtIC WORK <br /> - EIIfiEiIE~,YOR41914896136 <br /> ~E?~ e~ ~ TERHIHRL I.D. 0611340900950974497602 <br /> o ~ S-~ , ItRCHANT N: 9508244976 <br /> NC <br /> PC~17D 4 <br /> saLE <br /> RECORD N. 3 IHV~ 000803 <br /> DRiE~ SEP 13~ O7 iItE~ 13:14 <br /> BOTCH; 1B9 09-'14-079-907-~8RC <br /> AU1R~ 884831 <br /> AVS RESPOIISE~ N <br /> HO IIRICH ON ADDRESS OR ZIP <br /> TOTAL 525©.00 <br /> I O6REE TO PRY ABOVE TDipl AMOUNT <br /> ACGORDIH6 i0 CRRU ISSUER R6REEMENi <br /> fIfRCHAHi AGREEf1EHi If CREDIT UOUCHEil) <br /> CUSTOMER COPY Thank you for your payment <br /> <br />