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ORDER WORKSHEET FOR PROPERTY PURCHASE ~p <br /> • Date Check Needed: September 16, 1999 2 ~~05(7 13 <br /> (ZED-# ~ ~I 88 3 <br /> Mait Check ? Hand Carry Check x <br /> General Description: Acquisition of r/w for Coburg overla rte. PGI.!^- <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 X583~f <br /> Veridor Name: Stephen Spangler and Donna Spangler. n <br /> Address: 807 West 19"' Avenue I~~ iGgq <br /> City/State Eugene. OR Zip: 97401 <br /> Phone: 485-6800 Tax ID for 1099: N1A <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount; 150.0 <br /> <br /> • Line Description: This is for {payment of r/w acquisition for the Coburg Over{ay <br /> project. The GJN is 3715. <br /> Date: September 9. 1999 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX S <br /> XXXXX S <br /> Notes <br /> PWA-LRE r5userlformslproperty.frm 4/13/95 - - <br /> ,._r ~ <br /> <br />