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Receipt Page 1 of 1 <br />U11eb P R ' os ece~ t <br />Lane County Oregon <br />1Z5 E 8th Avenue <br />Eugene, 4R 9740I ~541~ 68Z-3823 <br />www,lanecaunty.org <br />Date 3/31/Z010 ~Z. Z8; ~.2 PM <br />Transaction 13fi49.444 <br />Charge Type LMD Permit <br />Permit # PA~.05Z58 <br />Payment Method MasterCard, ending with 9867 <br />Authorization 043937 Payment Type Purchase <br />Amount $ X38.00 <br />Authorized Signature <br />I agree to pay the above total amount according to the card issuer agreement, <br />E <br />1 <br /> <br />i <br />i <br />f <br />I <br />i <br />i <br />i I <br />hops:IlinsidelanelWebPoslReceipt.aspx?trans=13649.444&cp=1&ckey=634563528306... 03/31/2010 <br />