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City of Eugene / Public Works <br />-1 _ Parks & Open Space Division <br />1820 Roosevelt Blvd., Eugene OR 97402 <br />(541) 682-4800; (541) 682-4882 FAX <br />2010 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: <br />Common Ground Garden Project <br />Person making reimbursement request: <br />Robin Scott <br />2365 Polk St. <br />Eugene, OR 97405 <br />541-968-7155 <br />Itemized Reauest: <br />City of Eugene Contract 2010-05317 <br />Send payment to: XSame name & address as requestor <br />Receipt Date <br />Supplier / Vendor <br />Supply / Service <br />Amount <br />5-8-10 <br />Lane Forest Products <br />1 Yard Compost <br />18.00 <br />5-22-10 <br />Bi-Mart <br />Canopy Weights <br />26.97 <br />5-13-10 <br />Daniel L. Jerman Co. Inc. <br />Hose Bibb Water Meter <br />91.95 <br />5-30-10 <br />Resurrected Refuse Action <br />Team <br />Final Payment on Icosa Tool Shed <br />770.00 <br />6-11-10 <br />Bi-Mart <br />Folding Table <br />16.97 <br />6-6-10 <br />True Value Hardware <br />Has and Lock for Tool Shed <br />9.58 <br />TO L <br />$933.47 <br />x Woveby x <br />App roject Coordinator Approved by City NMG Coordinator <br />2-3, ~~lo <br />'te4 <br />x <br />ubmitted City Account Code - 0% bZq -bggotS <br />r=te 4 A - P <br />