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tl 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 /> ~ Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: McDonald's USA LLC a Delaware LLC successor to Golden <br /> Arch Limited Partnership ~ ~~C~o~~~~ <br /> Address: 2915 Jorie Blvd., please do not mail direct. <br /> City/State Oak Brook, Illinois ~ Zip. 60523-1900 <br /> Phone: 630-623-3677 Tax ID for 1099: 73-1719185 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Rover <br /> j Line Amount 66 204.00 <br /> Line Description: This is for the final settlement of a condemnation filing in process ~r1~3 <br /> against the McDonalds restaurant property on Broadway. The funding is from GJN ~a____ <br /> 4237 -Courthouse improvement project. <br /> i <br /> Date: 4/19/07 ~ Requested by: Russ Royer °2~ 94~ <br /> <br /> i <br /> Commodity # - ORDER ~ ~ - ~ ! <br /> 1~~ <br /> Line Account Codes 3 3Z XX~C~X ~~~b f f <br /> ~ ~ <br /> $ ~ ` <br /> XXXXX <br /> Dotes 7 <br /> ~-l z~ - <br /> PWA-lRE c:\userlformslproperty.frm 4/13/95 \ <br /> <br />