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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard `"fte.11111r► <br /> Eugene, OR 97402 Eugene <br /> • Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date I "" 2-jZ <br /> From MOLLY ( ►v19CCO <br /> Address 2' 062 to <br /> 5d J L ) <br /> Ev J �. <br /> City/State/Zip C O . ' t7'4OC <br /> Quantity Description Amount <br /> tAer A0G qs <br /> TOTAL 115 oa <br /> Payment: ❑ Cash ❑ Check# 'Si.Credit Card <br /> Received by IE114Tt TVA 544 ADC- vvIcli y <br /> 1 <br />