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City of Eugene - Document.Services .~Ob Y~C~C@~ <br />44 West 7th Avenue 4112 <br />Eugene, OR, 97401 <br />Ph: (541) 682-6878 Fax: (541) 682-2721 <br />Plate: <br />Bindery: None staple Position: n/a Other: <br />Boxes: <br />Signature: <br />Print: <br />Distribution: None. <br />Ship To Address: <br />Date: <br />Date Route Date <br />Job No..~ ~ ~ q <br />Contr No. <br />Assessable? YES or <br />,, I approve tRhi~ for payment. .~ <br /> <br />1Vltll VIUCI Ytl1UC .,~~7 ~,VV - <br />