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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 />a <br />2010 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: City of Eugene Contract #: P0.- G a 3 <br />Awbrey Park Improvement Project 2010 -05316 RE <br />TMO <br />Person making reimbursement request: Send payment to: Same name & address as requestor <br />Gary Haliski <br />4564 Altura St <br />Eugene, Or 97404 <br />I +nw�i�cr) Rcnnae +• <br />Receipt Date <br />Supplier I Vendor <br />Supply I S ervice <br />Amount $$ <br />2 -17 -2011 <br />Multi -craft Plastics <br />Lexan <br />$170.12 <br />3 -3 -2011 <br />Jerry's Home Improvement <br />Plywood, Cedar 1x6's, roof felt <br />$193.78 <br />3-4 -2011 <br />Jerry's Home Improvement <br />Cedar shingles, dripcap, <br />$68.26 <br />3 -24 -2011 <br />Jerry's Home Improvement <br />Cabinet locks for door panels <br />$17.16 <br />10 -13 -2010 <br />Jerry's Home Improvement <br />Hardware, cork panels, nails, screws, <br />glue, flat steel <br />$183.29 <br />10 -13 -10 <br />Jerry's Home Improvement Sfld <br />Steel Anle Iron, Hardware <br />$109.14 <br />T AL <br />4 11 q <br />$741.76 <br />x <br />r'Y� 4 <br />Gy� x <br />Approved y Project Coordinator Approved ity NMG C inator <br />' a d -a d r l x (01 1- 5735: 02 q6y--) - U'-1L1 1 <br />Date submitted City Account Code <br />41a� �r 1 <br />