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04/28/2p48 Mpx 13:30 FAX 5~1 6$2 85D0 LANE CO PW fdJOO2/OD2 <br /> i <br /> j Lane County Department of Puhtic Works Receipt No 2815 <br /> l , ~ - <br /> ,~~s. jrr.: Facility Permit -Receipt of Payment <br /> t <br /> 'A`k ~ Lane County Public Works ' <br /> 3040 N. Delta Hwy, . <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> Permit 080226 Receipt Date 04/28/2008 <br /> Receipt For CITY OF EUGENE <br /> 858 PEARL ST - <br /> EUGENE, OR 97401 V~` <br /> ~ ~ <br /> Method of Payment MasterCard <br /> Amount Paid $250.00 <br /> Amount i- <br /> Items Paid LANE CGUIITV PUBLIG RORN <br /> Permit Fee Other SHERflV 541-68Y-6916 $250.00 ~ <br /> <br /> l EUGENE OR. 91908-1636 Total $250.00 <br /> <br /> I' 1ERMI1IAL LD.t 0G17840p00958GT49916pZ <br /> 11ERCNANI b. 9SOG244911i <br /> MG PCARp <br /> ~9~4~>K~6710 ~ <br /> SALE <br /> - REGpRG fl: i lNU~ p0aoU1 ~ <br /> DATE APR 28, 08 ~IhIE~ 13:24 <br /> BATCH; 969 <br /> AUtN~ 0059U8 <br /> CUSi COGE. 2S0 ~,p <br /> AVS RESPONSE N ~ <br /> ' NO MATCH GII ADDRESS DR ZIP N <br /> TOTAL $Z5©.0l~ ~ - <br /> --U <br /> J~^ <br /> `J\ <br /> SJ <br /> I AGREE i0 PRV ASGUE TOTAL AN8UN1 (ter <br /> AGCORDIIIG 10 CARD ISSUER AGREfhIENi <br /> tNERCHAll1 AGREEhIEIIi If CREDIT VOUCHER) <br /> CUStpNER GOPV <br /> ,Thank you for your payment <br /> <br />