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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> • Date Check Needed: August 19. 1999 02 DO~D~~G~IO <br /> Mail Check ? Hand Carry Check x 2E~ i x/9(0.3 <br /> General. Description: Acquisition for Wester St. storm sewer Ltn/2 ~ / ~7, (000~~~ <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 ? 1CS83u <br /> P~`- <br /> Vendor Name: Wildish Land Company 8~l7~95 <br /> Address: 3600 County Farm Road <br /> City/State Eugene. OR Zip: 97408 <br /> Phone: 485-1700 Tax ID for 1099: 93-0566079 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount: 57.600.00 (seven thousand six hundred dollars) <br /> • Line Description: This is for payment of easement for the Wester Street drainage <br /> project. The tax lot of the affected p~ e~rty is 200 on map 17-03-08-41 . The GJN <br /> is 3630. <br /> Date: August 18. 1999 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX S <br /> XXXXX S <br /> Notes <br /> ~~~7~ <br /> PWA-LRE c:\user\formslproperty.frm 4!13195 5JJ / ~~J <br /> <br /> • <br /> <br />