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Page I of I <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 Brintnall <br />Public Works Administration 101 E Broadway <br />Eugene, OR 97401 <br />United States <br />Register User, Schkara Brintnall (schkara.m.brintnall@ct.eugene.or.us) <br />Receipt Number 9374530-42092479766 <br />Receipt Date: 01/05/2011 <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 $595.00 <br />$595.00 <br />ACR2011 Registration <br />Subtotal <br />$595.00 <br />Total <br />$595.00 <br />Attendee/s: <br />Jesse Denham(jesse.j.denham@ci.eugene.or.us) <br />Policies <br />Cancellations <br />All cancellations must be made in writing and mailed, faxed to Tala Baltazar at (562) 988-1688 <br />x206 or tbaltazar@lagerfiche.com. 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 />Laserfiche prior to December 17, 2010. After this date, all changes must be made on-site. <br />https://www.laserfiche.com/conference/PaymentThankYou.aspx 1/5/2011 <br />