0 c fEugene <br />Works Maintenance <br />Public Works Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />EUGENE <br />RECEIPT <br />id /oa . <br />From W I- A7t�as <br />Address <br />City/State /Zip <br />Q uantity <br />Description <br />Amount <br />C M 01-0 19 V✓ W W 1 I-e <br />TOTAL <br />Internal Use <br />Payment: ❑Cas <br />Received by <br />❑Check # n ❑ Credit �Card <br />