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City of Eugene <br /> Public Works Maintenance ��I <br /> Public Works Parks nt 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 /> G <br /> Date 0 - -S 2(),3 <br /> r' From <br /> Address <br /> City /State /Zip <br /> Quantity Description Amount <br /> k6 IS V <br /> TOTAL <br /> Payment: ❑ Cash Check # I 00 ( 1 ❑ Credit Card <br /> Received by 7 \' 1 i /1 1.1' ' 7 { 1 2) h <br />