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City of Eugene 1 Public Works <br />Parks & Open Space Division <br />1$20 Roosevelt Blvd., Eugene OR 97402 <br />(541) 682-4800; (541) 882-4882 i=Ax <br />-- <br />2009 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: City of Eugene Contract #: <br />-Adams Elementary School Garden 200905331 <br />Person making reimbursement request: Send payment to: XSame name & address as requestor <br />Darby Randall <br />850 W. 22~'d Place <br />Eugene, OR 97405 <br />ftemFZea rce uesc: <br />Recet t Date Su tier 1 Vendor Su I 1 Service Amount $$ <br />4119109 R&S Outdoor Su I 3 ards of 3/4 round $72,00 <br />4115109 _ _Rexius 3/4" round rock $69.00 <br />TOTAL $141.00 <br />Barbara Dumesnil <br />Approved by Project Coordinator <br />512 1 12 0 0 9 <br />Date submi#ted <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />011-4302-62900-644015 <br />City Account Cnde <br />~~~~~1~ l~~ ~ <br />