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City of Eugene /Public Works <br />Parks &Open Space Division <br />1820 Roosevelt Blvd., Eugene OR 97402 <br />(541) 682-4800 682 -4882 FAX <br />2010 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project dame: City of Eugene Contract #. <br />2 L <br />Person making reimbursement request: Send payment to: ❑Same name &address as requestor <br />- 0 a�� e-, . KL L-� <br />3 P <br />7 <br />dp� <br />Itemized Reauest. <br />Fee Date ate <br />S tier 1 Vendor <br />Supply <br />1 Servi ce <br />Amount ($$) <br />1-71 W <br />7 �&^-kz4 <br />C .. <br />R <br />5wy� -t <br />k <br />fA4L t5 -- <br />4 a " 0 <br />0 <br />vot to <br />a s 0 A 5 <br />i <br />C �e <br />-,b <br />4-10(o <br />// <br />-Sup k&A.LU-.L-. <br />P4 IP <br />a... I p <br />aixm <br />: ^'? "t.c= bn^:ttx <br />- �:. a�., �.t.,�.:a�a�.:rr�s��.^==r^.'n <br />-' <br />- ���..c7�.,'r•- <br />TO <br />AO <br /># U <br />�� <br />R i b <br />Ap M�ieid by Prujeut Cuurdlriator <br />Date sAmitted <br />1 \ (ka r I L n.la <br />Appr ed by ei NMI " Goord1nato ' r <br />011-0735-62900-644015 <br />City Account Code <br />