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City of .Eugene <br />Public Works Maintenance <br />Public Wor���'ks and Open Space: <br />1820 Roo oulevard <br />Eugene, OR 402 <br />Telephone * (541) 682 -4800 <br />RECEIPT <br />`..EUGENE <br />From -, <br />Address <br />City /State /Zip <br />anti <br />Q uantity ' <br />Descri tion <br />Amount <br />i <br />�J <br />TOTAL <br />Internal Use <br />Payment <br />Received t <br />❑Cash ®check # '"Si } L ❑Credit Card . <br />