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' i <br /> ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> • Date Check Needed: Februar~24. 2000 /~U Z00O0I7R~{ ~ <br /> Mail Check O Hand Carry Check ?x ~ <br /> x5~ 3 y <br /> General Description: Thompson park site adjacent street assessments. a f p~ <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Arthur C. Piculell, Jr. and Dee W. Piculell <br /> Address: 4818 SW Scholls Ferry Road . <br /> City/State Portland, OR Zip 97225 <br /> Phone: 342-8444 Tax ID for 1099: 1 19-26-3959 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount: S 178,914.28 <br /> Line Description: This is compensation for the streets and related improvements <br /> costs adjacent to the recently acquired Thompson Meadows Park site. The site <br /> includes portions of tax lot number 400 on map number 17-04-02-30. This should <br /> use 50% Parks and Open Space acquisition funds and 50% Parks SDC's funds. If <br /> you need a more specific numbers, please check with Andrea Riner at 4909. <br /> Thanks. <br /> Date: 2 1/ 8/00 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX S <br /> XXXXX S <br /> I <br /> Notes <br /> { <br /> Sc~C, ~3~ ~'~3S ° "~SDII <br /> <br /> • <br /> , 9,.3s- g osi~ / <br /> <br />