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06/09/200$ MON iQ:O8 FAX 5ai g$2 8500 LANE pp PAT ~0p2/p02 <br /> Lane County Department of Public Works ~Recelpt No 2860 <br /> Facility Permit -Receipt of Payment <br /> a~. <br /> k d~, Lane County Pu61ic Works <br /> 3040 N. Delta i-Iwy. <br /> Eugene, OR 9740$ <br /> (541) 682-6902 <br /> Permit 080313 Receipt Date 06/09/2008 <br /> Receipt For CITY OF EUGENE -JOHN BONHAM <br /> 244 E. BROADWAY <br /> Eugene, OR 97401 <br /> Method of Payment Mastercard <br /> Art~ount Pald $450.00 <br /> ~I Items Paid Amount <br /> ~ Permit Fee Commercial Driveway $450.00 <br /> Total $450.00 <br /> i <br /> ' LANE COUNiV PUBLIC WORK <br /> SHERRP 541-682-6916 <br /> EUGEIIE~ DR, 97408-1636 <br /> <br /> i <br /> TERhIINAL LD.: 001734000D9S0024497602 <br /> i')ERCHRIIT N. 950D2449)6 <br /> hIC PCARD To: Eioute Date ~-ya~-D ~ . <br /> SALE ~ Job No. -s~5%df <br /> Contr No. ~Q~ / <br /> 'RECORD b, 1 INU: 000001 Assessabie? YES <br /> DATE JUII 04: 08 TIMEc 13:56 or N <br /> BpTCNt 930 I approve 's fi ay nt. <br /> AuTH~ 0x4311 <br /> AU5 RESPONSE: II Sign re Date; _ ~a <br /> If0 hIATCH OII ADDRESS OR ZIP <br /> TOTAL X450.00 <br /> I AGREE iD PAV AOOVE roTaL gPIOmiT <br /> RCCORDIfiG TO GARO ISSUER AGREEhiElli Thank you for your payment <br /> (PIERGNAhII AGREEhIENi IF CREDIT VOUCHER) <br /> GuSTprIER DOPY <br /> 06/0912008 hdON 14:06 [TX1RX NO 9757] 0 002 <br /> _ _ <br /> <br />