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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 <br /> From V; 11 't�:r i;frv' 1 ,3 <br /> Address ' (-t) - -- I ( - 7 ' <br /> City/State/Zip <br /> Quantity Description Amount <br /> hesviinE Ads 4451- <br /> 1 3I- 165a --L o <br /> TOTAL <br /> Payment: ❑ Cash Check # I i% _ ` %fit ❑ Credit Card <br /> Received by <br />