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City of • <br />Public Wo aintenance <br />Public Works Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIPT <br />Q uantit y <br />Description <br />Amount <br />i <br />P/,,I,j - <br />TOTAL <br />�b US.._ <br />Internal Use <br />Payment: ❑Cash ❑Check# &- ❑Credit Card <br />Received by <br />