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t <br />ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br />Date Check Needed: July 10, 2003 <br />Mail Check ~ Hand Carry Check ^x <br />General Desdription: Purchase of Real Property rights• A portion of 17-03-33-12, TL802 <br />Dept. Contact: Enaineering -Lloyd Williams ext. 2679 <br />Name: Richard E. Gorman, D.C. <br />Address: 388 South Garden Wav <br />Eugene, OR Zip 97401 <br />Phony: ~ Tax ID for 1099: 93-076-8036 <br /> <br /> <br />i Prepay ^x '', Emergency ^x Separate Check ^x Route to: Lloyd Williams <br />Line Amounts: Twelve Thousand Twenty Four Dollars and no/100 Dollars ($12,024.00) <br />Line Description: This is for the purchase of real property rights in the Garden Way Street <br />Widening anId Improvements project, GJN 3502. <br />Date: 7 3 03', Requested by: Lloyd Williams <br />Commodity ~ - ORDER # - <br />{ ~ <br />Line Accoun~ Codes )0000( $ <br />gill )0000( $ <br />1 <br />Notes ~' <br />I! I <br />i <br />j <br />I~ <br />a <br />a <br />PWA-LRE c:\user\fgrms\property.frm 4/13/95 <br />j ~ ~ ~ ~ <br />~RECV~..1. "15~( ~ <br />DATE~~, ~.~ <br />~R~TIAL~~~ <br />