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r. <br />_:~ ;. ~~ CHECK REQUEST <br />Date Check Needed: May 6, 2004 <br />Mail Check ^ Hand Cany Check ^XX <br />L,~~~ <br />~k-~ <br />.~- <br />General Description: Purchase Public Utility Easement <br />Dept. Contact: Lloyd Williams ext. 2679 <br />Vendor Name: Riviera Shopping Center, LLC <br />Address: 7831 S.E. Stark St.. #103 <br />City/State Portland. OR Zip 97215 <br />Phone: (503)251-4888 Tax ID for 1099: 94-3285076 <br />Prepay ^X Emergency ^X Separate Check ^X Route to: Lloyd Williams <br />Line Amount $14,170.00 <br />Line Description: Purchase of Public Utility Easement/River Avenue Project Fund GJN 3693 <br />Date: 4/27/04 Requested by: Lloyd Williams <br />Commodity # <br />Line~Account Codes <br />ORDER # - <br /> <br /> <br />iyotes <br />PWA-LRE c:\user\forms\property.frm 4/13/95 <br />0_27-0!P02~51 RCVD <br />U <br />