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Page 1 of 1 <br />3545 Long Beach Blvd. <br />Suite 110 <br />Long Beach, CA 90807 <br />Tel 562-988-1688 <br />Fax: 562-424-2118 <br />Bill To: <br />Schkara Brintnafl <br />Public Works Administration <br />Eugene, OR 97401 <br />United States <br />Register User: Schkara Brintnall (schkara.m.bnntnall@ci eugene or.us) <br />Receipt Number: 141758-201881431826 <br />Receipt Date 11/15/2010 <br />Paid By. Credit Card <br />Credit Card # XXXXXXXXXXXX5557 <br />Unit Total <br />Product Code Description Quantity Price Price <br />LFO- 2011 Annual Conference 1 $395.00 <br />$395.00 <br />ACR2011 Registration <br />Subtotal <br />$395.00 <br />Total <br />$395.00 <br />Jagpai <br />Attendee/s: <br />agpal Notre(jagpal.s.notre@ci.eugene.or.us) <br />Policies <br />Cancellations <br />All cancellations must be made in writing and mailed, faxed to Tale Baltazar at (562) 988-1688 <br />x206 or tbaltazar@las erfiche,c0m No telephone cancellations will be accepted A service charge <br />will apply For all cancellations postmarked or fax/e-mail dated on or before December 10, 2010, <br />registration fees will be refunded less a $50 service charge. No refunds will be given for no- <br />shows. It will take a minimum of six weeks to receive a refund No refunds will be given for <br />cancellations postmarked or fax/e-mail dated after December 10, 2010. <br />Substitutions <br />Registration may be transferred to another person in your organization by written request to <br />Lasertiche prior to December 17, 2010. After this date, all changes must be made on-site <br />https://www.laserfiche.com/conference/PaymentThankYou.aspx <br />✓-(/u/ <br />11/15/2010 <br />