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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> • Date Check Needed: August 19, 1999 Z~OV 3Cl~ <br /> 2~~ ,~t- / 7~~ ~ <br /> Mail Check ? Hand Carry Check ?x ~/n1E ~ ~ s~.Ov <br /> General Description: Acquisition price for proposed 4 acre Thompson park site. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 P XSk3~l <br /> Vendor Name: Western Pioneer Title CompanX g~~/9~ <br /> Address: 1200 Executive Parkway <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 484-2900 Tax ID for 1099: provided by escrow <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount: S 188,500.00 <br /> • Line Description: This is compensation for the purchase price of the park site to be <br /> deposited in escrow per terms of sale agreement. The purchase includes portions <br /> of tax lot number 400 on map number 17-04-02-30. This should use the Parks and <br /> Open Space acquisition fund number. If you need a more specific number, please <br /> check with Andrea Riner at 4909. Thanks. <br /> Date: $/16/99 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XX XXX S <br /> S~SrL3 ~L~SlZ! <br /> Notes ~ 9335 j~OUV ~ 7 <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />