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City of E ne <br />Public Wo intenance <br />Public Wo rks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIPT <br />Date " 2- -- V <br />From r� <br />Address_ 7 <br />Q uantity <br />/ <br />Descri P on <br />Amount <br />r <br />X ,0 57 <br />'7„ <br />20 9 <br />E iiil - dSo <br />Z�zt•�$ <br />TOTAL <br />Internal Use <br />Payment: ❑Cash <br />Received by `4 <br />Card <br />