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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: October 7, 1999 <br /> Mail Check ? Hand Carry Check x <br /> General Description: Improvement costs for wastewater pump station on Crimson <br /> Street off Gilham. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Tom Wester Builder, Inc. <br /> Address: 3495 Honeywood Street <br /> City/State Eugene. OR Zip: 97408 <br /> Phone: 343-9693 Tax ID for 1099: 540-46-5476 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount: $22.746.00 <br /> <br /> • Line Description: This is for payment for the City's share of costs of streets. <br /> utilities, sidewalks, etc. for the pump station per terms of the 1996.purchase <br /> agreement. The tax lot is 17-03-08-23-01601. GJN in 1996 was 3296. <br /> Date: September 28. 1999 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 .%JC ~ ~~O <br /> ~~~Q ~ ~ aa, ~ylo.oa <br /> xs83~{ <br /> <br />