ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> r <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: Engineering -Lloyd Williams ext. 2679 <br /> Vendor Name: Westminster Presbyterian Church <br /> Address: c/o: Lee D. Kersten, Attorne~r at Law, 260 Country Club Road. <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 345-4312 Tax ID for 1099: <br /> Prepay ?XX Emergency ?XX Separate Check ?XX Route to: Lloyd Williams <br /> Line Amount _55,524.00 <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 /> ~oo~oo i7ss/ <br /> ~ ~7 ~ <br /> Commodity # - ORDER # - p ~S'~~ <br /> Line Account Codes XXXXX $ ? / <br /> XXXXX 5 <br /> Notes <br /> • <br /> PWA-LRE c:\user\formslproperry.frm 4/13/95 <br /> <br />