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City of a <br />Public W aintenance <br />Public Wo Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIPT <br />Q uantity <br />Description <br />Amount <br />2 0 ° <br />13 ° %5 L4 577Y <br />r 9 <br />TOTAL <br />Internal Use <br />Payment: <br />Received by <br />❑Cash ❑Check # ❑Credit Card <br />