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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 #: 2010 -05317 <br />Common Ground Garden Project <br />Person making reimbursement request: <br />Robin Scott <br />2365 Polk St. <br />Eugene, OR 97406 <br />541 - 968 -7155 <br />Itemi7M R PnijPCt - <br />Send payment to: XSame name & address as requestor <br />Receipt Date <br />Supplier / Vendor <br />Supply / Service <br />Amount $$ <br />5/9/10 <br />Lane Forest Products <br />Round River Rock <br />10.00 <br />4/9/11 <br />Lane Forest Products <br />Compost 1 of 2 loads <br />20.00 <br />4/9/11 <br />Lane Forest Products <br />Compost 2 of 2 loads <br />20.00 <br />4/30/11 <br />Down to Earth <br />Fertilizer, Soil Amendments, Cold <br />Frame Materials <br />507.43 <br />4/30/11 <br />Coastal Farm Supply <br />Seeds, Structural Supports <br />67.54 <br />4130/11 <br />Jerry's <br />Compost bin supplies, irrigation <br />supplies, garden tools <br />692.09 <br />TOTAL <br />1,317.06 <br />x x �/ - � <br />Approved by Pr ect Coordina or Appro by Cit N G Coord or <br />L, ��`� c30 ao x - - 7 U/ <br />Date submitted City Account Code <br />