City of Eugene <br />Public Works Malnten0e <br />Public Works Parks and Open Space <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIPT <br />From <br />Address <br />City /State /Zi <br />EUGENE <br />n <br />Q uantity <br />Description <br />Amount <br />TOTAL <br />Internal Use - Payment: ❑ Cash )l Check # S ❑ Credit Card <br />Received by <br />I�1 <br />DDS -PW 67 05/16/06 <br />