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® City of Eugene /Public Works <br />Parks 8 Open Space Division <br />1820 Roosevelt Blvd., 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 Protect Name: City of Eugene Contract #: <br />Adams Elementary School GardenlOutdoor 200905331 <br />Person making reimbursement request: Send payment to: XSame name & address as requestor <br />Barbara Dumesnil <br />2355 Washington <br />Eugene, OR 97405 <br />Itemized Re uest: <br />Recei t Date Su liar 1 Vendor Su I /Service Amount $$ <br />05/27/10 Jerr 's su lies $79.50 <br />TOTAL $79.50 <br />Barbara Dumensil Jackie Hallett <br />Approved by Project Coordinator Approved by City NMG Coordinator <br />618110 011-4302-62900-644015 <br />Date submitted City Account Code <br />`~G ,col ~,o ~~ l~ 9 .~ <br />