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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 71 1/ 5 <br /> From vii Cu 171414 5 <br /> Address 3 _SKi'11f(w IM <br /> City/State/Zip � r 179CS <br /> Quantity Descript Amount <br /> ; 2,o%r 3 / Z- X1325 -45 76/' /' Oh' <br /> 8 ( 0 / ', /31 9 4 , 5 4S 78 683 <br /> TOTAL y <br /> Payment: ❑ Cash kiheck # 2 27 S. Z ❑ Credit Card <br /> Received by CAW <br />