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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 /> • <br /> �7 RECEIPT <br /> ''7 <br /> Date f ' / ' �O I _ <br /> From p ,[d i <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> 5-HZ_QA- <br /> e (is k► n-/ � - <br /> TOTAL <br /> Payment: ❑ Ca Check# / % '7 71 ❑ Credit Card <br /> Received by <br />