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® City of Eugene 1 Public Works <br />Parks 8 Open Space Division <br />1820 Roosevelt Blvd., Eugene OR 97402 <br />(541) 682-4800; (541) 682-4882 FAX <br />2010 Neighborhood Matching Grant Program <br />Request for Reimbursement #1 <br />Neighborhood Matching Grant Project Name: <br />Safety Education Plaza at Bailey Hill Road <br />Person making reimbursement request: <br />Tom Schneider <br />PO Box 25409 <br />Eugene OR 97402 <br />Itemized Request: <br />City of Eugene Contract #: <br />2010 - 05322 <br />Send payment to: XSame name 8 address as requestor <br />Recei t Date Su Iler I Vendor Su I /Service Amount $$ <br />5/13/10 Home De of Concrete $6.30 <br />05/07110 Home De of Levelin 2"x4"x12' $3.69 <br />5/13/10 Home De of Re-bar $40.80 <br />5113110 Home De of Re-bar Const su lies $52.73 <br />5/7/10 Kinko's Laminatin si ns $7.98 <br />517110 Kinkos Laminatin hotos $3.98 <br />517110 Fred Me ers Name to s $ 3.39 <br />516110 Kinkos Co ies of lans $1.26 <br />518110 Churchill Market refreshments $ 38.85 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />TOTAL - $158.98 <br />Tam Schneider <br />Approved by Project Coordinator <br />612110 <br />Date submitted <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />011-4302-62900-644015 <br />City Account Code <br />~~ i_;-~~~ia <br />~; <br />