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FROM :CRT FAX NO. :5413441197 Feb. 2 2011 2:07PM P9 <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: Skinner City Farm's Food Preservation Center Initiative <br />City of Eugene Contract #: 4682 <br />Persbn making reimbursement request: <br />Stacey Janssen on behalf of Skinner City Farm <br />Remixed Reauest- <br />Send payment to Eugene Bicycle Works <br />455 W 1 Avenue <br />Eugene, OR 97401 <br />Receipt Date <br />.. �,. i <br />_ _ r1 <br />:, ,. Iry ---• <br />12/10/2010 <br />upplier / Vendor <br />'._._._ ..._;.....:...:• rz.. <br />rrfu.u• r:WiaLW.�ub..iL'e:.n <br />JOfli� Z. .G ?:::____.. <br />SRI :('__.__....._ _._ <br />} - _ - _ :- - ,.n .. :S > -- - <br />_ — ].tr9.i+aM. .1 h•H.ii�:-.1= �:':� = �-:._ :__ __._3 "rr.�w•n <br />................ � .• �_. ____:_::_:._:: _•:�NO.:r.r;r <br />_ <br />Eugene Bicycle Works <br />• • �_;- :,,::r•� •:- :�:_- .;_•_:._�..... Se rvice .:>i:•.,::: <br />'•r.:::.�r: ^.;....; ..... - na ai� .�i 1 •Ilk n.r�� • - <br />.iu-u:l1M .1N ••••� ••• ,.'F.L:n.y._�_.�.. - 1 -- urtt,. 1' ._ ...t1., <br />_..Al...tlllfla cn' rr_c:: __.. -,.. - __ - :.ry6.StMT._ _ <br />. — _ _._L.� ._.,L_f�. �.. _ _ -_. d'J.0 IFi•••...._.R!'.lfffll: <br />; _- _ --= _= ,- .�e,a_:.• _�;n:Ac�•: __ ..;fl..; - <br />•PseR>t� r',��..__ • rk �C�t�G��„ �_ t# �i tt? ar�f- � :- <br />Mobile Cannery Maintenance for 12 <br />months <br />Amount $$ <br />...vF_.....v . f <br />11 - .1 <br />wY.�f'lns- <br />� n � __.u.J �JY`[ ....1. <br />vr,�c ; ,.h.t {,1 • <br />�= :;��:?lttQ:!!ilQHltu�' - :_�. <br />$200 <br />TOTAL <br />$1 <br />x <br />LA r e p q t' oordinator <br />X � '�L <br />[date bmi ed <br />'x • <br />Approved by City NMG Coordinator <br />X <br />City Account Code <br />J 031f, <br />RECo 9 t, 7- <br />