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C <br /> r~- <br /> ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> • Date Check Needed: February 18. 2000 <br /> Mail Check ? Hand Carry Check ?XX <br /> General Description: Purchase of Real Property at 777 Coburg Road. <br /> Dept. Contact: _~ngineering -Lloyd Williams ext. 2679 <br /> Vendor Name: Westminster Presbyterian Church <br /> Address: c/o• Lee D Kersten Attorney at Law 260 Country Club Road <br /> City/State Eugene. OR Zip 7 01 <br /> Phone: 345-4312 Tax ID for 1099: NSA <br /> Prepay ?XX Emergency ?XX Separate Check ?XX Route to: Lloyd Williams <br /> Line Amount S5.524.00 <br /> <br /> • Line Description: This is for the purchase of real property for a turn lane at the <br /> approximate northeast corner of the intersection of Harlow and Coburg Roads; a <br /> portion of Map #17-03-20-44, Tax Lot #4900. Funding to come from GJN 3715. <br /> Date: 2/14/00 Requested by: Lloyd Williams <br /> * e2o000 /7SS/ <br /> ~C ~a-9 Y9 <br /> Commodity # - ORDER # - x5~'y~ <br /> Line Account Codes XXXXX $ ~ ~~lS/aD <br /> XXXXX S <br /> Notes <br /> <br /> • <br /> PWA-LRE c:luser\farms\properry.frm 4/13!95 <br /> <br />