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Y v <br /> ~ `v ~ <br /> ~ WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: April 26, 2007 <br /> ~ Mail Check ? Hand Carry Check ?x <br /> General Description: Courthouse Road Improvement project acquisition. <br /> I, <br /> Dept. Contact: Engineering -Russ Ro r~er ext. 5264 <br /> Vendor Name: McDonald's USA LLC a Delaware LLC successor to Golden <br /> Arch Limited Partnership ~ ~o~l~~~ <br /> ~ Address: 2915 Jorie Blvd., please do not mail direct <br /> E <br /> City/State Oak Brook, Illinois Zip 60523-1900 <br /> = Phone: 630-623-3677 Tax ID for 1099: 73-1719185 <br /> E <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> I <br /> Line Am nt 66,204.00 (g Q. Z0~-6 ~ l~- <br /> _ <br /> Line Description: This is for the final settlement of a condemnation filing in process ~~~-3 <br /> against the McDonalds restaurant property on Broadway. The funding is from GJN <br /> 4237 -Courthouse improvement project. <br /> Date: 4/19/07 Requested by: Russ Royer ~ °z~ 9~~ <br /> <br /> i <br /> <br /> i <br /> Commodity # - ORDER ~ ~ ~ ~ ~ <br /> Line Account Codes °i ~ 32 XXX~C ~~5~ ~ ~ ~ ti3 <br /> $ <br /> XXXXX <br /> Notes <br /> r,.__..,.,, <br /> PWA-LRE c:\user\formslproperty.frm 4/13/95 <br /> <br />