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Z` p2c Ott # <br /> 3 3 c '101/42- ''')D-- <br /> • <br /> City of Eugene—Public Works <br /> Pa <br /> 44"111114, <br /> rks and Open 1820 Roosevelt Blvd. <br /> Eugene,OR 97402 <br /> Ph: (541)682-4800 "" Eugene <br /> Fax: (541)682-4882 <br /> RECEIPT <br /> ) <br /> Q�Date: J (-9- (�,��] [ EN <br /> Name: g 66:, i✓ <br /> [-' NEW GARDENER <br /> Quantity Description Fee: Circle One <br /> COMMUNITY GARDEN FEE $25 $60 $100 <br /> [ ] AI aker [ ] Amazon <br /> Mathews` [ ] River House <br /> [ ] Skinner City Farm [ ] Whiteaker <br /> PLOT# /—\ UeI l�2 pLi- /i v k <br /> f -. 1 TOTAL $ `t De <br /> Payment: C� as Check# Credit Card <br /> • <br /> Received by: `/LitA Ith]----1 <br />