FROM :CAT FAX NO. :5413441197 Jun. 27 2012 6:34PM P3 <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: Skinner City Farm's Strategic Planning initiative <br /> City of Eugene Contract #: 05310 <br /> Rj 2,013001332. <br /> • <br /> Person making reimbursement request: Send payment to Stacey Janssen <br /> Stacey Janssen on behalf of Skinner City Farm 113 Crocker Lane <br /> Eugene, OR 97404 <br /> Itemized Request: <br /> Recei .t Date Su . lien / Vendor Su . .1 / Service Amount $$ <br /> �_:. .,, ...,... _., ._.y._i.. <br /> _ ._.- .__._.r._ _n .__... r._... ..- -� - �- -... _...... :� -�... .. .. : ?.�. �.�� ' '1�.�, ,.,��'•��, � .d <br /> �r� �- �-- �_ �• ---:...... �._ .._._.. r: F_-:-'-- xr:: r�:.: �.: c::: ri. �e�y. H.: n. � , �---.- �. r....r ��.,.. e.. �..-..._:: a�:_:•.:: �. �f4:... �� :�.:.:_r..r.,�:-._. �.. 5 ....w;:q+,�•!r"rH�r��i ` ��, <br /> xa <br /> _.s .0 ,.iy <br /> 4: _Ri =��.. 3ll.n' :iivkri. . �ir <br /> .�... ........ . ... . �""'.,,- ._.._.. _.�' -�.�: ��� ;...:: ::. •: ,.::::�....__:: •- _:_::���:: -.: •: _��E���tvisi`:�riC�;; logy= ?off=: �o�; .�u���.��,�n;�,,:r.:�:.,!: -:.:, _�_�.:. -�1�;� ., <br /> TOTAL $3,700.00 <br /> A7)0 fOP"' <br /> A o ed by P ` . iris. • • Ina or Approv • by City • Coordinator <br /> Date su r�' Sitt / `� City Account Code L,I / 3 3 <br /> � rl 0735 - r Ce 446 <br /> /7 <br />