<br /> 06/D9'I2008 HON 14: 8 FAx 5ai 682 8500 LANE CO Pw f~j002/002 <br /> t <br /> Lane County Department of Public Works Receipt No X860 <br /> Facility Permit -Receipt of Payment <br /> ~ 'r' ,~s. ~ , <br /> Lane County Public Works <br /> 3040 N. Delta Hwy. <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> ermit 080313 Receipt Date 06/09/2008 <br /> eceipt For ITY OF EUGENE -JOHN EiONHAM <br /> 44 E. E3ROADWAY <br /> ugene, OR 97401 <br /> Method of Pay ent Mastercard <br /> Amount Pald $450.00 <br /> Items Paid Amount <br /> Permit Fee Commercial Driveway $450.00 <br /> Total ,v $450.00 <br /> LANE COUNTY PUBLIC WORK <br /> SHERR9 541-692-6916 <br /> EUGENE DR, 97408-1636 <br /> 1ERI IHgL LD. ~ 0017340000956024491692 <br /> NER NAIIT N. 95eD244916 <br /> Route Date ~ --o <br /> h~ CARD To; ~%or~.tJ,C~,~.~,yi¢/~+~'l <br /> ~~611Q ~ Job No. _ -~S <br /> SALE Contr No._ Zo~~ / 8' <br /> j REC D q; 1 INU; 00D001 Assessable? YES <br /> If BAT ~ fy~D09~ 0B TINE, 13;56 y ntor N <br /> I approve s a <br /> RUTH. 094311 <br /> qUS E5PONSE: I! Sign re Date: <br /> ~ IIO hl TCH OII gDORESS OR 2IP <br /> i <br /> TO AL $450.66 <br /> AGREE 10 PpV gBOVE TOTpL gTIDUl1T <br /> q CDRDIII6 ]D CARD ISSUER AGREEhB'lli Thank you for your payment <br /> (ME NAM gGREEhIENi IF CREDIT VDUCNER) <br /> CUSTOMER GOPV . <br /> 06/09/2008 MON 14:06 [TX/R7C NO 9757] I~j002 <br /> <br />