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Harry's Fresh Foods 541 -434 -2456 p.1 <br />City of Eugene 1 Public Works <br />Exhibit C. - Parks & Open Space Division <br />1820 Roosevelt Blvd., Eugene OR 97402 <br />(541) 682-4800; (541) 682 -4862 FAX <br />2012 Neighborhood Matching Grant Program <br />Request for Reimbursement <br />Grantee: Mohawk Grange and Harlow Neighbors Association <br />Grant Project: Willakenzie Grange Site lmpr , ements <br />Person making reimbursement r+equest' <br />Send payment to z G s� <br />17 <br />ta.. ..14 o�... �.�• <br />City of Eugene Contract #: 2012 -05335 <br />Receipt Date <br />Supplier I Vendor <br />Supply I Service <br />Amount $$ <br />$ .: <br />VI I ?J 2- <br />TOTAL <br />$ <br />� / / Approve City MG / 2 <br />Date subrr�i ed Brian II , PWM /POS y Clarke, SP <br />City Account Code. 011 -0735 -62900 - 644015 <br />