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City of <br />ain <br />Public Maintenance <br />Public Parks and Open Space: <br />1820 Roosevelt Boulevard <br />Eugene, OR 97402 <br />Telephone # (541) 682 -4800 <br />RECEIPT <br />Date <br />From /' -N of) &Q1n f <br />Address T <br />City/State/Zip <br />Q uantity <br />Descri tin <br />Amount <br />y 5 <br />O -IW3 . 30 <br />O <br />BI <br />J5 90 <br />TOTAL <br />Intemal Use <br />Payment: OCash ā¯‘Check # OCredft Card <br />_q- <br />Received by <br />