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City <br />Publictenance <br />Public Works Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone * (541) 682 -4800 <br />7 1D.Sr <br />Fror <br />Add <br />City, <br />EUGENE <br />RECEIPT <br />Q uantity <br />- Description <br />Amount <br />TOTAL <br />Internal Use <br />Payment: ❑Cash ❑Check # [Credit Card <br />� <br />Received. by <br />