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City of Eugene <br /> Public Works Maintenance <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 q.261( <br /> From t fv kt9 uae1 <br /> Address 21S ;%\c \\ Qd, <br /> City /State /Zip t\c Ci2 9 <br /> Quantity 1 Description Amount <br /> 5- k'(P ((De 4 ( v 9 e s,p n �o � Ud <br /> 1 3 ,4L/e <br /> ,qCes /3(- chiS7 y0 <br /> TOTAL <br /> Payment: ❑ Cash Check #c ❑ Credit Card <br /> Received by / /■..r �/II��► <br />