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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 />Floral Hill Trail Improvement <br />Person making reimbursement request: <br />Jay Runte — Northwest Youth Corps <br />lam....: -....J �,.... .....1. <br />City of Eugene Contract #: 2010 -05320 <br />Send payment to: <br />2621 Augusta Street Eugene, OR 97403 <br />Attn: Jay Runte <br />Receipt Date <br />Supplier / Vendor <br />Supply / Service <br />Amount $$ <br />6/6/11 <br />Northwe §t Youth Cor = ODS <br />NMG Graht Paid. ervice`Time ; . <br />$2,500.00 <br />6/6/11 <br />Northwest Youth Corps - ODS <br />Materials and Supplies — Funds <br />Adjustment for additional paid work <br />$1,170.00 <br />TOTAL <br />$3,670.00 <br />x <br />Approved by Project Coordinator Appro by City NMG Coordinator <br />6/6/11 x O!/� 7 <br />Date submitted City Account Code <br />PO • CCU ` bect of <br />RE C: <br />TO A/P: <br />