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<br />City of Eugen I Public Works <br />Parks 8 Open pace Division <br />1820 Roosevel Blvd., Eugene OR 97402 <br />(541) 682-480 ; (541) 682-4882 FAX <br />2010 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: <br />David Kolb <br />841 W.36'" Avenue <br />Eugene, OR 97405 <br />CIty of Eugene Contract #: <br />2009-05333 <br />Person making reimbursement request: <br />David Kalb <br />itemized Renuest <br />Send payment to: XSame name & <br />as requestor <br />Recei t Date Su tier /Vendor Su I /Service Amount $$ <br /> <br />5128110 <br />Central Blue r <br />'P.rintin ~ ~ , ~ ,, <br />~ $189.00 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />TOTAL $189.00 <br />David Kolb <br />Approved by Project Coordinator <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />5128110 <br />Date submitted <br />011-4302-61270-644015 <br />City Account Code <br />'w ac~lool~-Isds <br />~~-~ ply( <br />