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 `� l(Q oQao <br /> From N e rv.0.1n <br /> Oc�aln � 2A � n <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> •o to Co N o-te- p'rat,��e rl o r-A-1n t QM 3 752.410 <br /> linvkick Cn Gre-d�5 CND :anal -a51-10S <br /> TOTAL <br /> Payment: ❑ Cash El Check# Credit Card <br /> Received by KafkLp <br /> 53L0— GCo°19-9-7O-46-960Iv <br />