City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 .° <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date <br /> 1 ZoZO <br /> From Ni'CI,( goy leJ <br /> Address 1$32 -i I2 20 Ph oth jf. <br /> City/State/Zip Vila CV/4'001 f 'CA/r►GQ'f1 . /1 <br /> Quantity Description Amount <br /> PeAdllA CIPP61 <br /> ( 20 - 02245- Di) <br /> TOTAL 80 <br /> Payment: ❑ Cash ❑ Check# /Credit Card <br /> Received by O'61/ <br />