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FROM r• CAT FAX NO. :5413441197 Nov. 4 2010 3:06PM P2 <br /> City of Eugene 1 Public Works <br /> Parks & Open Space Division <br /> EUGENE • 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 #: 4632 S 5 Z3 <br /> U -0 <br /> • <br /> ad � <br /> Person making reimbursement request: Send payment to: Human Powered Machines <br /> Stacey Janssen on behalf of Skinner City Farm 455 West 1 Ave <br /> Eugene, OR 97401 <br /> PO:t2 L: )f C / ] 2.5 <br /> • REC: `=%`5 (-2 <br /> TO A/P: <br /> itemized Request: <br /> Receipt Date Su • • lier / Vendor Su • • 1 / Service Amount $$ <br /> 11/03/2010 - -- <br /> _ Human Powered Machines Customization of Mobile Cannery Rig $1,100.00 <br /> $ <br /> • <br /> • <br /> TOTAL <br /> $1,100.00 <br /> lafoiCti <br /> ed <br /> ved by P 1e oordinator A b City � � pp y G Coordinator <br /> //fr//0 / ftbm�t // x i Account 011. -7 3s. ti Z.4ov . 604801 <br /> Date <br /> City Acc unt Code <br />