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_ City of Eugene <br /> Public Works Maintenance <br /> ' <br /> Public Works Parks and en Space aD ` � �` = <br /> / <br /> 1820 Roosevelt Boulevard "`'iii'` <br /> 41111110. <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682-4800 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> LI- . „V) <br /> Date <br /> From r--r ,--- <br /> Address vi f 1 f r'' <br /> City/State/Zip <br /> Quantity Description Amount <br /> % I t .t f t r' ' s <br /> J <br /> 3 'JI.,)5 s 0 - 10 0 i")._ <br /> TOTAL <br /> Payment: E Cash 0 Check# E Credit Card <br /> Received by -`f <br /> .I a y <br /> 9 3m i✓ S c <br /> I f N M <br /> .f' <br /> d y <br /> MM ��Q O J <br /> �S <br /> 9= <br /> J t^ C <br /> �J L: ,? N i 9 <br /> $ t t it <br /> ` a i,* 4 <br /> N N�-. _ n7 C a C ;} 9 �' <br /> (J r�i pna < o x �� <br /> 7 i! n- O ® rr 7C ' <br /> .+..m z yxc "V g.. <br /> = n ; © 3 �w T©^' <br /> t,L. 66 r 3 @•ay[ et. Y TO TP-p_C{ <br /> n -' i N; ..0 Q 4-8,-. <br /> �+- rr A: a 61 Q. , <br /> 7 I. <br /> gas m� <br /> arr.`� m tram...a <br />