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Ne Matching Grant Project Name: City of Eugene Contract #: <br />l�a+mas Q�lav Lear�ir`�ev abed — 053 <br />City of Eugene / Public Works <br />Packs & 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 />Person making reimbursement request: <br />l A'a1-C T�uZiGt� <br />Itemized Reauest: <br />Send payment to: ❑ Same name & address as requestor <br />D M CMT'M 'V <br />Aue <br />SV2 O (- q <br />Receipt Date <br />! Supplier / Vendor <br />Supply / Service <br />Amount $$ <br />''�..vA'"i:.T.� ��''�� <br />m�3� .F.�,„. L.. F`+•�s r�!5.,� <br />m -x P s tn <br />�S �. ", �Eet;ix < } §!,., a'�� 9 Ix�/J,.>t -4t',i .w - -�3 <br />w ig <br />.�.. r <br />,ne_ <br />3 'iscl. 00 <br />r" <br />00 <br />, <br />Approved by Project Coordinator Appy y d by City Coordinator <br />b' s1 I t) 011 - -0 0735- 62900- 644015 <br />Date submitt d City Account Code <br />- �oao i � ao5s4 s <br />ta[ to <br />