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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> • Date Check Needed: August 19. 1999 ~ (}O~~D~d,ID <br /> Mail Check ? Hand Carry Check x 2EC i ~ 9(0 3 <br /> General Description: Acquisition for Wester St. storm sewer L~i1e # / ~7, (o DD• <br /> Dept. Contact: Engineering -Russ Ro.ker ext. 5264 V 1CS~3u <br /> P~`- <br /> Vendor Name: Wildish Land Company ~/~~~9~ <br /> Address: 3600 County Farm Road <br /> City/State Eugene, OR Zip: 97408 <br /> Phone: 485-1700 Tax ID for 1099: 93-0566079 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount: 57.600.00 (seven thousand six hundred dollars? <br /> • Line Description: This is for payment of easement for the Wester Street drainage <br /> project. The tax lot of the affected property is 200 on map 17-03-08-41. The GJN <br /> is 3630. ~ <br /> Date: August 16. 1999 Requested by: Russ Royer <br /> I <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XXXXX 5 <br /> Notes <br /> .~-~~7y <br /> ` <br /> PWA-LRE c:\user\forms\properrty.frm 4/13/95 ~ ~~~GQ , <br /> • <br /> <br />