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CHECK REQUEST <br /> Date Check Needed: October 12. 2006 <br /> Mail Check ? Hand Carry Check OXX <br /> General Description: Purchase of right-of-way <br /> Dept. Contact: Lloyd Williams ext. 2679 <br /> Vendor Name: PeaceHealth <br /> Address: 123 International Way <br /> City/State Springi'ield, OR Zip 97477 <br /> Phone: N/A Tax ID for 1099: 93-1084906 <br /> Prepay ?X Emergency ?X Separate Check ?X Route to: Lloyd Williams (PWE-P) <br /> Line Amount 8 000.00 <br /> Line Description: Franklin/Alder Pedestrian Crossing !PeaceHealth parcel) Fund GJA{.~i~ <br /> Date: 10!02/06 Requested by: Lloyd Williams <br /> Commodity # - ORDER # - <br /> Line Account Codes )()U()()( ~ <br /> XXX)CX $ <br /> Notes ~ ~ 2: 4~3a- q' 3 ~ 2'7~-( .3~~ <br /> <br /> PWA-LRE c:luser\forms\property.frm 4/13/95 <br /> ~~~,~~~ov s~z ~D~~~~ <br /> ~,T.~~.~._.,.11J~~1(~ 10-03-Ob A05:27 I N <br /> ~gfi <br /> <br />