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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 <br />Neighborhood Matching Grant Project Name: <br />Common Ground Garden Project <br />Person making reimbursement request: <br />Robin Scott <br />2365 Polk St. <br />Eugene, OR 97405 <br />541 -968 -7155 <br />City of Eugene Contract #: 2010 -05317 <br />Send payment to: XSame name & address as requestor <br />REC: <br />TO A/P:,J J I <br />I,- -: - --I M...- ...... a. <br />A <br />Receipt Date <br />Supplier / Vendor <br />Supply <br />/ Service <br />Amount $$ <br />3/12/11 <br />True Value <br />Garden tools/supplies/storage <br />$26.73 <br />4/15/11 <br />Jerry's Home Improvement <br />Garden tools/supplies/storage <br />$85.25 <br />4/17/11 <br />Bi -Mart <br />Harvesting tools <br />$6.76 <br />4/15/11 <br />Redwood Northwest <br />Picnic Table <br />$229.90 <br />4/23/11 <br />Down to Earth <br />Garden tools/supplies/storage <br />$38.54 <br />4/23/11 <br />Jerry's Home Improvement <br />Stakes, Paint <br />$11.21 <br />4/23/11 <br />Jerry's Home Improvement <br />Garden tools /su <br />lies /stora a /infrastruc <br />$243.53 <br />4/23/11 <br />Jerry's Home Improvement <br />Irrigation Supplies <br />$761.04 <br />TOTAL <br />$1,402.96 <br />x <br />nprovey Project COOrdina or <br />x & /` a 7/1l <br />Date submitted <br />X ( - 11-q/Y <br />Approved by City NMG Coordinator <br />X C bl vZ`i - <br />City Account Code , <br />