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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 # (541) 682 -4800 <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date f3i <br /> From '#4 W <br /> Address -q'Y! t W - l ~ '� E <br /> City /State /Zip 'S/�C'ev ' ,- C3 1744 ) <br /> Quantity Description Amount <br /> jj <br /> Coo c ` ► ► e S /6,6 Co Z <br /> TOTAL <br /> Payment: ❑ Cash ,'� heck # <br /> � 0 2 t ❑ Credit Card <br /> Received by Ja c �. I� viced <br />