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= <br />r <br />1 �f { <br />F � + � 7 <br />} <br />City of Eugene f Public Works <br />Parks & Open Space 4 p vision <br />T kiR ����; � � � <br />i;v.fl RoosevelE Blvd., Eugene OR 97402 <br />y. . � (541) fi$2 -4800; (541) fi82 -4882 FAX <br />2010 Neighborhood Matching Grant Pr ogram <br />Request for R eimbursement <br />Neighborhood &Iatchm ing Grant Protect Name: <br />Trainsong- Creating Healthy OPPortunitdles <br />Persoll making relmburse+ment requs�t: <br />brad Lane <br />2600 Wood Ave. <br />Eugene OR 97402 <br />i *�, . - � � ...j IM .. - <br />x <br />fate submit#ed <br />Jan 26, 2011 <br />City of Eugene Contract # <br />2b1(3 - Q5318 <br />SendPay ent to: )(Same Warne &address as q estor <br />x k N 0 <br />ApprQV bY G Coordinator <br />=OEM <br />Lik o <br />eft}/ Account Code <br />t 1� I? <br />LID <br />................ <br />_._ ....... ....._._... <br />...... ......._ ...... ....... . <br />` _._ .. .. .... ........ .. ... <br />•: ?':. { � ,k ti .. : •ti 1 r.. : ,•,fY ■•,. �..: •, ',. •. .. + t•:. ,.ti . - .� .... ... .. . <br />, � :..-�• � •r�" k'� .• , ;.• :••r 1 y 1 � , ti Y' • .. , •ti • �r�:,:• 1 1 ti •:; ......... ... __��... -_ • •�n�. <br />• • 1 :1} ���Y��} :��' 1�. f .. ...• .. .,tip F Y� YI �:•_ •�,• ••• �.. ti: ti f ' .�, •�r,:. 1 L L k .:..:• <br />' .. �. �. ..S. : _ T_ Z :: _ 'S • ::: L.L' 'Y���1_ti _ ... L r .. _ :. '• '~ y iL.ti'. ..... .�'. .._: __ <br />Approved by f'rojeck Coordinator <br />0wh <br />