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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 1 12-2)15 <br /> From COI tA1-� S W-s Mai/lc-di r 1 -1-0-- 1 -1-0-- - <br /> Address 1 Itarnmoz,. <br /> City /State /Zip Eirt 3 CYl e 2 <br /> .. o _ 60401 <br /> Quantity Description Amount <br /> ] Street Tree - Stoa 8.71 <br /> aohtrzck- - a..OI4- 0F350/ A ! /25, is <br /> ,r .t vz_ 9335- y57B2 -o14- (9535) ! ,27 P q-2- <br /> /-de. /3/ q 6so Its 7 in <br /> TOTAL 5 / _ I <br /> Payment: ❑ Cash Check # 1004 ❑ Credit Card <br /> Received by eS-Clia#`-------) <br />