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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 #1 <br />Neighborhood Matching Grant Project Name: City of Eugene Contract <br />Safety Education Plaza at Bailey Hill Road 2010 - 05322 <br />Person making reimbursement request: <br />Tom Schneider <br />PO Box 25409 <br />Eugene OR 97402 <br />Send payment to: <br />Marina Hajek <br />2410 Madison Street <br />Eugene, OR 97405 <br />ItPMi7P.r1 RArmpgt- <br />Receipt Date <br />Supplier/ Vendor <br />Supply 1 Service <br />Amount <br />5107110 <br />Home Depot <br />Materials & Supplies <br />$14.18 <br />05/19/10 <br />Eugene Fastener <br />Bit and materials <br />$6.60 <br />4121110 <br />FedExKinko's <br />Signs, paper and bond <br />$20.92 <br />5/7110 <br />FedExKinkos <br />Paper/cutting <br />$27.98 <br />TOTAL <br />$69.68 <br />Tom Schneider <br />Approved by Project Coordinator <br />6114110 <br />Date submitted <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />011-4302-62900-644015 <br />City Account Code <br />lea <br />a ~60 <br />