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® City of Eugene /Public Works <br />Parks 8 Open Space Division <br />1820 Roosevelt Bivd., Eugene 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: <br />Adams Elementary School Garden/Outdoor <br />Person making reimbursement request: <br />City of Eugene Contract #: <br />200905331 <br />Send payment to: XSame name & address as requestor <br />Barbara Dumesnil <br />2355 Washington <br />Eugene, OR 97405 <br />Itemized Request: <br />~j a~ r b6 I I ASCU <br />~2_ec~" ~ . ' l ~ C <br />Recei t Date Su lier /Vendor Su I I Service Amount $$ <br />918/2009 FedEx Kinkos Garden Poster $93.00 <br />11104/09 Jerr 's Ball valve $14.95 <br />10/2009 True Value Plastic, brush, twine $26.18 <br />101512009 Home De of Misc. su lies $42.56 <br />10/8/09 Del h's Awards la ue $14.00 <br />3/13110 Costal Farms Wine half barrel $89.97 <br />2/25110 Home De of Wheel barrow $69.99 <br /> $350.65 <br /> Minus $7.99 due to receipt on Barbara <br />Dumesnil reimbursement# 4 that was <br />cha ed twice. <br /> <br />-$7.99 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />TOTAL $342.66 <br />Barbara Dumensil <br />Approved by Project Coordinator <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />3/18//10 <br />Date submitted <br />011-4302-62900-644015 <br />City Account Code <br />