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PUBLIC WORKS CONTRACT ROUTING FORM <br />Date: June 6, 2003 <br />Contract No.: 2003-00312 . <br />Amendment No.: <br />GJN: ~'~°~5 <br />Assessable? No <br />To: Section Manager , For: x Initials <br />~xk. S~°P''~'~'ng~'"'"a"' Initials ~_ Si nature <br />X ~rt/Division Mana g <br />Jim Carlson, Asst. City Manager Initials Signature <br />Dennis Taylor, City Manager for Signature Please return to Hamilton @ Facility Mgt <br />_X PW Admin. (Budget) X P.O.--Return to Peggy Hamlin PWE <br />Contractor: View Design, Jason Halstead, Proprietor <br />Title: Relocation Fixed Payment Claim for Train Depot Project <br />ro~ec-~- AA~.~age~e. , <br />Type: Project Manager: Jenson, fac;a~, rna~r- x5190 Fuss wL~~ <br />Begin Date: 6/1/03 Review Date: 7/31/03 Termination Date: Upon Comp <br />Purpose of Agreement: Fixed payment in lieu of moving expenses as a displaced business for the space <br />located at 445 Willamette Street, Eugene, OR. Two payments of $10,000.00 each. <br />Budget Information: REQ. No. ,Q~~(`~ 50'I3~ Date ~ 11 0 By ~~~~ <br />Amount: ~?0 000.00 ~ P.O. No.: <br />Authorization by <br />Line 1 Acct. Code: <br />Line 2 Acct. Code: <br />Line 3 Acct. Code: <br />Line 4 Acct. Code: <br />3t 1 q3~~o !~! 73~ q~5 I'13 Amount: $ 2b, 0~ - °O <br />Amount: $ <br />Amount: $ <br />Amount: $ <br />TOTAL $20,000.00 <br />Note: Purchasing --Please forward contract to CRO <br />Route form (Revised Apr112003) O b -1 1- 0 3 A 0 8~ 4 7 R C V D <br />