WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: Aril 19, 2007 <br /> Mail Check ? Hand Carry Check ?x <br /> General Description: Parks and Open Space Ridgeline Trail Corridor. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Pacific Northwest Title of Lane County, LLC P~%N ~ T <br /> ~ r~~ <br /> ~ c.G~ ~ Z <br /> Address: 360E 10th Ave, Suite 101, please do not mail direct <br /> i <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 431-1860 Tax I D for 1099: N/A . <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> i <br /> Line Amount $676,598.70 <br /> ~ Line Description: This is a ridgeline trail acquisition for POS. The funding includes <br /> t <br /> from the 2006 parks bond and the remaining from Parks SDC's. Lacey and/or <br /> Carolyn will provide the split. The tax lot numbers include tl 900, 903, &`904 on map is <br /> 18-04-10. <br /> Date: 4/12/07 ~ Requested by: Russ Royer g 3 9 <br /> - - <br /> I / <br /> Commodity # ~7~~ - ORDER #~~7x~7 - p~'~ ~~~5` <br /> ~ 7~aao <br /> j Line Account Codes ~a' R 335 XXX;XX qU sr~t <br /> $ N 33 , c~2 3 '7(~ C <br /> ~~oo a <br /> ~ 9335 XXXXX go~tal ~~l <br /> , $ x`13, ~7~. 33(~ <br /> Notes <br /> I <br /> PWA-LRE c:\user\formslproperty.frm 4/13/95 <br /> <br /> i <br /> <br /> t <br /> <br /> i <br /> <br />