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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: City of Eugene Contract #: <br />Awbrey Park Improvements 2010 -05316 <br />Person making reimbursement request: Send payment to: <br />Gary Haliski Tim Loftis , . <br />3933 Dorchester Lane ISO: <br />Eugene 97404 <br />REC: 5 <br />TO <br />nemizea Ke uesc: <br />Receipt Date Supplier / Vendor Su pply / Service Amount $$ <br />3124199 Redwood Lumber & Supply Co. Materials $144.80 <br />TOTAL $144.80 <br />Gary Hal iski <br />Approved by Project Coordinator <br />4/29/11 <br />Date submitted <br />Jackie Hallett <br />Approved by City NMG Coordinator <br />011 -0735- 62900 - 644015 <br />City Account Code <br />