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FROM :CAT FAX NO. :5413441197 Jun. 27 2012 6:14PM P6 <br /> 1820 Roosevelt Blvd., Eugene OR 97402 <br /> (541) 882 -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 PD 201300 (335 <br /> Person making reimbursement request: Send payment to Nonprofit Support Services <br /> Stacey Janssen on behalf of Skinner City Farm P.O. Box 10008 <br /> Eugene, OR 97440 <br /> • <br /> itemized Request: <br /> Recel • t Date Su ' • liar / Vendor Su ..1 / Service Amount $$ <br /> .u: � <br /> ...Hf4l ',: <br /> ..._.... _.. .,... -_... -.:' ,r::- _....... - <br /> «,._....... _ _ ;-.,. ..._.:.-- :::.__..;,:ue;.c:;._:_::::,:.. ... �,..e_,= -a - �-- ; "C1, +r.a� „+.�e'.:'i,,,r;. ' b �� ; fS <br /> mu n,. M. t��:' � � .{ - �AttSE:f1.eC1�e:��ibSSN. .�! <br /> ' u � ��, r <br /> `r�pYV.a t. .:1!✓k7� t��'ii�; S..S e-_..p,r,tu�ry��fF�irti�rti�::� o , e. ; �. <br /> • <br /> TOTAL ! , $945.00 <br /> x <br /> Ap e.d by of o rdma or Appr y NM t. = • rdinator <br /> x a /2' <br /> Date <br /> /.? t City Account Code <br /> r ' l 3cle <br /> 6 (/ o7 <br /> IP lVl5 <br /> • <br /> • <br /> • <br /> • <br />