City of Eugene / Public Works <br />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: City of Eugene Contract #: 2010 -05317 <br />Common Ground Garden Project <br />Person making reimbursement request: Send payment to: XSame name & address as requestor <br />Robin Scott <br />2365 Polk St. . <br />Eugene, OR 97405 <br />541 - 968 -7155 <br />Ifcmi�cr! Rnnnoc4• <br />P <br />Receipt Date <br />Supplier / Vendor <br />Supply / Service <br />Amount $$ <br />10/24/2010 <br />Down to Earth <br />Cover crop seed, winter plant starts, <br />fertilizer <br />$35.64 <br />1/29/2011 <br />Rodney Bloom, OSU Extension <br />cam ost specialist <br />Worm bin construction, delivery and <br />installation <br />$400.00 <br />9/25/2010 <br />Garden neighboring property <br />providing water for garden <br />Water <br />$58.00 <br />10/17/2010 <br />Bi -Mart <br />Tools for garden <br />$39.73 <br />5/16/2010 <br />Down to Earth <br />Bio Turf Fertilizer <br />$35.37 <br />TAL <br />$568.64 <br />x <br />Ap roe by Project.Co 6 rdinator <br />Date submitted <br />x Z•2� 11 <br />Approve by City Coordinator <br />0- <br />x �Gi 7�� �,Z� <br />City Account Code <br />REC: -�?— 6 <br />TO AIR <br />