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City of E' ne <br />Public Wor intenance <br />Public Wo arks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />EUGENE <br />RECEIPT <br />City/State /Zi <br />2} Io'� <br />w ; �- <br />Q uantity <br />Description <br />Amount <br />j /'ACC -f lrze GZ5 <br />��1.�h 1,1�►f /i/I C � / /f1 /�U,C7 <br />'0 <br />- - 3 (2- - <br />2 16 <br />4s - 7 q a <br />5 u _ ► r -- <br />TOTAL <br />0S6 <br />Internal Use <br />Payment: ❑Cash &heck # 1337L ❑Credit Card <br />Received by t aYie <br />