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City of Eugene 1 Public Works <br />Parks & Open Space C3ivision <br />1820 Roosevelt Blvd., Ecgene OR 97402 <br />(541) 682-4800; {541) 682-4882 FAX <br />2009 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood~Matching Grant Project Name: City of Eugene Contract #: <br />Adams Elementary Garden Project 2009-05331 <br />Person making reimbursement request: .Send payment to: X Same name & address as requestor <br />Barbara Dumesnil <br />2355 Washington <br />Eugene, OR 97405 <br />Itemized Request: <br />Recei t ©ate Su liar I Vendor Su I I Service Amount $$ <br />3125109 Parr Lumber 6x6 osts 164.76 <br />413109 Premier Concrete Concrete & footin s 2600.00 <br />2, 784.76 <br />Approved by Project .Coordinator <br />Date submitted <br />_Jackie Hallett <br />Approved by City.NMG Coordinator <br />011-4302-62900-644015 ~--~ ~ ~~ <br />City Account Code <br />. ~.-~°J(.ef~~ <br />~- `- <br />