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~~,..~~ City of Eugene 1 Public Works <br />Parks & Open Space Division <br />1$20 Roosevelt Blvd., Eugene OR 97402 <br />(541 } 682-4800; (54'1.} 682-4882 FAX <br />2009 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: Gity of Eugene Contract #: <br />Adams Elementary Garden Project. 2009-05331 <br />Person making reimbursement request: Send payment to: X Same name & address as requester <br />Barbara Dumesnil <br />2355 Washington <br />Eugene, OR 97405 <br />itemizes tie nest: <br />Recei t Date Supplier 1 Vendor - Su 1 1 Service Amount $$ <br />3125109 Parr Lumber 6x6 osts 164.76 <br />413109 Premier Concrete Concrete & faotin s 2600.00 <br /> <br />764.76 <br />Approved by Project Coordinator <br />Date submitted <br />Jackie Hallett- <br />Approved by City.NMG Coordinator <br />011-4302-62900-644015 ~-o -r ~~ <br />City Account Code <br />c- <br />~~ <br />