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j • • <br />DONATION.FORM <br />Donor Name: <br />Address: 7 o Lk)e5 T c;W. ,fit er 9 O S" <br />Phone: <br />mays ~MemoniaQ knee C~anden <br />Date: o,142 D <br />Donation T es• <br />me) TJZS (Work) f~l (Cell) <br />E-mail: <br />YP <br />,WN - Main Path Leaf Tile - $145 <br />(Inscription: 2 lines, approximately 20 characters on each line) <br />MemorialTree - $750 <br />(Inscription: 3'lines, approximately 23'ehara6ters on each line) <br />4 ft. Viewing Path.Bench - $1,200 . <br />(Inscription: 3 lines, approximately 35 characters on each line)' <br />Received: C5, <br />C~~' C_-, Lo <br />Logged: 04 ; <br />Letter. <br />Ordered; _S-o- z - 0 ~g <br />Confirmed:........ <br />6'ft. E;ttry Plazh Bench -$1,700 <br />(Inscriplion: 6lines, approximately 19 characters on each line) <br />- Main Path Seating Node-$4,200 <br />_(Project Landscape A9rchitect will work with donor to determine appropriale, method of <br />commemoration) <br />❑ - Othe . <br />Inscription• <br />~of~~n awo~-rd <br />Love- <br />DO ATIONS TO HAYS' MEMORMAL TPt E "GARDEN ARE <br />IEIIMB a INIR CS, IRMROatign <br />Contact for more information: Carrie'Peterson, Park Development <br />Make checks payahle to. <br />Please mail completed form <br />and donation to: <br />City of Eugene <br />City of Eugene Parks Planning <br />Attn: Carrie Peterson <br />1820 Roosevelt Blvd. <br />Eugene, OR 97402 <br />anD aren mace... <br />E <br />i <br />i <br />Making our city a healthy, active and <br />beautiful place to live, work and playl <br />