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City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space EUGENE <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 <br /> Tele # (541) 682 -4800 <br /> Fax # (541) 682 -4882 <br /> RECEIPT <br /> Date 1 • 2- <br /> From 1 V 0,9 pjM ( <br /> Address pQ x -7 2_ <br /> City /State /Zip E4,9 ,rt. OR_ 'i9-41 <br /> Quantity Description Amount <br /> 1 Pvvl— Co► 9-003- 0c310 A 0 <br /> TOTAL 6, 0- <br /> Payment: ❑ Cash ycheck # 12–D ❑ Credit Card <br /> Received by __13„„L._ <br />