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City of Eugene I Public Works <br />Parks & 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 <br />Neighborhood Matching Grant Project Name: <br />Common Ground Garden Project <br />Person making reimbursement request: <br />Robin Scott <br />2365 Polk St. <br />Eugene, OR 97405 <br />541- 968 -7155 <br />Itemized Renuegt <br />City of Eugene Contract #: 2010 -05317 <br />Send payment to: XSame name & address as requestor <br />Receipt Date <br />Supplier I Vendor <br />Supply / Service <br />Amount $$ <br />5 -8 -10 <br />Lane Forest Products <br />1 Yard Compost <br />18.00 <br />5 -22 -10 <br />Bi -Mart <br />Canopy Weights <br />26.97 <br />5 -13 -10 <br />Daniel L. Jarman Co. Inc. <br />Hose Bibb Water Meter <br />91.95 <br />5 -30 -10 <br />Resurrected Refuse Action <br />Team <br />Final Payment on Icosa Tool Shed <br />770.00 <br />6 -11 -10 <br />Bi -Mart <br />Folding Table <br />16.97 <br />"A0 <br />True Value Hardware <br />Hasp and Lock for Tool Shed <br />9.58 <br />TQI,AL <br />$933.47 <br />App wVeby roj�Coordi Approved by City NMG Coordinator <br />Z2 / Z l � l x ?,7, /0 <br />x <br />Date ubmitted City Account Code ©t j <br />`D aU11oO127 <br />r=te 4,) A- P � 1 <br />