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City of Eugene <br />Public Workgftntenance <br />Public WorkIjW and Open Space <br />1820 Roosev ulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />L� RECEIPT <br />Date <br />From <br />Addr -qOZ- 9$30 <br />City/State /Zia - - - <br />Q uantity <br />Description <br />Amount <br />t IvVeA 5 <br />13 tf 1. <br />TOTAL <br />Intemal Use <br />Payment: ❑Ca i <heck # / D ZT ❑Credit Card <br />Received bv_ 1-6 of l " pt e6yA- <br />