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City of Eugene <br />Public Works Mainten <br />Public Works Parks an en Space <br />1820 Roosevelt Boulev <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIVE <br />Date <br />From <br />Address <br />City/State/Zip <br />Q uantity <br />Description <br />Amount <br />LJC)q' <br />1 <br />6 <br />TOTAL <br />Internal Use - Payment: ❑ Cash I Check # ❑ Credit Card <br />Received by DDS -PW S7 05/16106 <br />