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City of Eugene 1 Public Works <br />darks & Open Space division <br />1$20 Roosevelt Blvd., Eugene OR 97402 <br />'_ (541 } 582-48Q0; {541) 682-4882 FAX <br />20 9 Neighborhood Matching Grant Program <br />Request. for Reimbursement c~,~ F ~~ ~~~ ~ ~~ <br />Neighborhood Matching Grant Projec# Name: City ~f Eugene Contract #:~~ ~~~ ~ g~ <br />Spring Creek elementary Curriculum Project 2049-G5336 <br />Person making reimbursement request: Send payment to: XSame Warne & address as requestor <br />.Peter Thurs#on <br />446 Blackfoot Avenue <br />Eugene, OR 97404 <br />Itemized Re pest: <br />Receipt Date Su plier !Vendor Su I 1 Service Amount $$ <br />112 2120 9 0 Peter Thurston ?ro'ect c~ordlmana ement/su lies $1106.25 <br />TOTAL $17 06.25 <br />Peter Thurston Jackie Hallett <br />Approved by Project Coordinator rapprov~ed by City NMG Coordinator <br />1/2212U 10 p11-43~~2-62900-644015 <br />Date submitted ~ City Account Code <br />