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City of E e <br />Public WorklMintenance <br />Public Works Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />X1 <br />RECEIPT <br />Address " - _ <br />City/Sta /Zip <br />Q uantity <br />Description <br />Amount <br />IVAC'SID <br />— f <br />Internal Use <br />Payment: ❑Cash O&eck # <br />Received by <br />�� a3 0credit Card <br />