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City of Eugene <br /> Public Works Maintenance Alft <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682 -4800 <br /> Fax # (541) 682 -4882 <br /> RECEIPT <br /> Date (P--- I -1 <br /> From L ,Qo I. A.0 t(ive <br /> Address <br /> City /State /Zip <br /> Quantity Description Amount <br /> 1 Sky..eJ Tt(4.12._ rw,i" - <br /> ,1d /3/- q650- 45 7? <br /> TOTAL <br /> sQC- ) q <br /> Payment: ❑ Cash ck # I 1 S ❑ Credit Card <br /> 4:<_____/--- <br /> Received by <br />