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TOTAL <br />pproved by Project Coordinator Approv by City NM rdinator <br />x f x 011- 0735 - xxxxx- 644015 <br />Date submitted City Account Code <br />N : <br />7fi0-:7�$ <br />g� <br />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 />2011 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Neighborhood Matching Grant Project Name: <br />WEST 8 COLLABORATIVE PROJECT <br />City of Eugene Contract #: 2011 -05312 <br />Person making reimbursement request: Carole Goerger <br />Send paXment to: CCPA <br />291 W 8 Ave <br />Eugene, OR 97401 <br />Itemized Request: <br />Receipt Date <br />Supplier / Vendor <br />Supply / Service <br />Amount ($$) <br />6/12 <br />Jerry's . <br />Bracket <br />=: <br />4 73 <br />6/12 <br />Walmart <br />Bracket <br />32. <br />6/10 <br />Walmart <br />Plants <br />22.24 <br />5/24 <br />Gray's Garden <br />Planters <br />121.41 <br />6/7 <br />Jerry <br />Brackets <br />159.96 <br />6/9 <br />Decker Nursery <br />Plants <br />286.64 <br />6/10 <br />Lane Forest products <br />Dirt <br />54. <br />6t:W 15 <br />Walmart <br />Flowers <br />4.8 <br />6/15 <br />Fred Meyer <br />Water wand <br />26.99 <br />6/17 <br />Walmart <br />Hose <br />15.27 <br />6/7 <br />Walmart <br />Brackets QN <br />g�- <br />6116 <br />Walmart <br />Return water wand <br />'� -9:97 <br />�31A <br />6/16 <br />Walmart <br />Water wand <br />- 13f74 <br />TOTAL <br />pproved by Project Coordinator Approv by City NM rdinator <br />x f x 011- 0735 - xxxxx- 644015 <br />Date submitted City Account Code <br />N : <br />7fi0-:7�$ <br />g� <br />