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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;(541)682 -4882 FAX <br />2010 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: <br />Fairmount Sense of Place Booklet <br />City of Eugene Contract #: <br />2010 -05319 <br />Person making reimbursement request: <br />Katherine Lieberknecht <br />1865 Villard Street <br />Eugene, OR 97403 <br />Itemized Request: <br />Send payment to: XSame name & address as requestor <br />4 <br />TO A10- I <br />Receipt Date <br />Supplier/Vendor <br />Supply / Service <br />Amount $$ <br />10/18/10 <br />Fed Ex Office <br />Card for copying materials <br />$20.00 <br />2/22/11 <br />Lane Cour Historical Museum <br />Digital images and cd <br />$99.00 <br />$119.00 <br />TOTAL <br />Katherine Lieberknecht <br />Approved by Project Coordinator <br />3.7.11 <br />Date submitted <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />011 - 0735 - 62330- 644015 <br />City Account Code <br />