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<br />`/ <br />' ORDER WORKSHEET FOR PROPERTY PURCHASE <br />City/State Eugene, OR Zip 97401 <br />Phone: Tax ID for 1099: N/A <br />Prepay ^X Emergency ^X Separate Check ^X Route to: Lloyd Williams <br />Line Amount $1 ,228.80 (One Thousand Two Hundred Twenty Eight and 80/100 <br />Dollars) <br />Date Check Needed: May 10, 2001 <br />Mail Check ^ Hand Carry Check ^X <br />General Description:-Real Estate Taxe - Brolin Purchase <br />Dept. Contact: Engineering (Pearl) -Lloyd Williams ext. 2679 <br />Vendor Name: Lane County Dept. of A & T <br />Address: 1 25 E. 8`h Av. <br />Line Description: This is for payment of property tax due on park property near <br />Spencer Butte -West Ridge Park; 18-03-19, #300, 600, 605. Funding from <br />Parks and Open Space -- Ridgeline Trail funds. <br />Date: 4 30 01 Requested by: Lloyd Williams <br />~- <br />Commodity # - ORDER # - <br />Line Account Codes 321 9335 78000 905172 $1,228.80 <br />Notes <br />c:\user\forms\property.frm 4/13/95 <br />RECD a~ <br />®~TE <br />INiTiAL~ <br />