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CHECK REQUEST <br /> ~ <br /> late Check Needed: November 18, 2004 <br /> Mail Check ? Hand Carry Check DX <br /> General Description: Fire. Protection Tax <br /> Dept. Contact: Lto~d Williams ext. 2679 ~ute~au______- ~ , <br /> Vendor Name: State Forester ~ ~~6-~ <br /> ~-o~ <br /> f~,~~7~ <br /> Address: Oregon Degt. of Forestry # ~ 9~ ~ <br /> ,account C~ h l <br /> p.0. Box 4395 <br /> City/State: Portland, OR Zip 97208-4395 <br /> phone: X503}945-7456 Tax ID for 1099: NIA <br /> Prepay DX Emergency DX Separate Check DX Route to: Lloyd Williams - PWE-P <br /> Line Amount 545.32 <br /> _ine Description: Payment of Fire Protection Tax Funds from POS tPer Philip Richardson). <br /> <br /> i <br /> Date: 11/10/04 ~ Requested by: Ll~d WiNiams <br /> ORDER # <br /> Commodity # ' <br /> Line Account Codes X)U{XX $ <br /> XX)CXX $ <br /> Notes D t I l~ ZU ~ 193 <br /> ~~~~fi~n ~~~fq~(~n« ~roPerk~ ~v~ Pl~/Yal T~ <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> . <br /> <br />