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07/li/2D08 FRI 14:16 FAX 541 682 8500 LANE CO PAi <br />.~, Lane County Department of Public Works <br />„~ ~' .I <br />~~a Facility Permit -Receipt of Payment <br />a ~' ~ ~•~" ~ Lane County Public Works <br />3040 N. Delta Hwy. <br />Eugene, OR 97408 <br />(541) 682-6902 <br />Receipt No 2908 <br />~001/OD1 <br />Permit 080385 Receipt Date 07/11/2008 <br />Receipt For <br />NE- GINGER PERAL'ES ~ /~, `~ ~~,~(> <br />/n <br />858 PEARL ST <br />EUGENE, OR 97401 . <br />W ~ ~S~ <br /> .~ ' <br />Method of Payment Mastercard <br />• Amount Paid $250.00 <br />Items Paid Amount <br />Permit Fee Road Construction $250.00 <br /> Total $250.00 <br />• lRHE CDUHiY PUBLIC WORH <br />SHERRY 541-682-6916 <br />EUSEIIE~ OR. 97408-1636 <br />TERI~QNR! I.D.; 801734BODD950024497602 <br />MERCHRHT N. 9580244916 <br />MC PCRRD <br />l~r~llln~a6no t <br />SALE <br />RECDRD M= i IHU, DDBBaI <br />DATE JUL 11~ OB Tllt~ 14;18 <br />BRTCH~ 949 <br />RUTN; 819959 <br />CUSi CDDE~ lY3 -• <br />RVS RESPDIISE~ H <br />ND NarCH OH RODRESS OR ttP <br />TOTAL 5250.00 <br />I AGREE TD PAY RBDUE TD1AL RPIDUIIi <br />RCCDRDIH6 TD CRRD ISSUER R6REEI~IIT <br />iHERCHRIIT RGREEIfNi IF CREDIT UDUCNERI <br />CUSIONER COPY Thank you for your payment <br />f <br />