GHEGK REQUEST <br /> Date Check deeded: ~lovernber 0, 2005 <br /> 9`Jtai1~ CFieck ~ band Carry Check C7XX <br /> ~Q <br /> Genera!- DeseriRtior~: l~orchase o~ ease€~€wnt ` zDaZo~ ~ <br /> Dept, Contact: Lloyd WiFliams ext. 2679 ~r ~ <br /> ~.~:~~~T. <br /> . . <br /> Vendor-iVarne: Thomas ancf-Rosemary-Nice ~ ~ 3 <br /> Address: 23~fl East 1.5"' Avenue <br /> GitylState Eugene, OR Zip 97401 <br /> ~ Phone: ~t/A Tax fD for 1099: -N/A <br /> prepay GiK E€~ergency G1~4 Separate Check RQUte ta: Liayd Williams 4~Vil'ER} <br /> Line Amount 200.fl0 <br /> Line Description: Purchase of a wastewater easement from-Nice; 15~' Avenue project; <br /> (WW Rehab pro}ect}; Fund: G.)N 4254. <br /> Date: 11102!05 Requested by: Lloyd V1/illiams <br /> X` Sfis3S5T1Ff"$SSY]Y]FSfY_JYtfititiL'SCf2iSffi['iii[p$~fnt]FXSYY[i['3iRSi~Y']YY`_:§~nY]Y`i~(~fit3Y54Xit]~[i x~Y~fiti[9FiLYt <br /> Commodity # - ORDER # - <br /> Line Account Codes YJC)C~CX <br /> YJ:XY.X $ <br /> <br /> ' Notes <br /> PWA-LRE c:lusertformslproperty,frm 4!13195 <br /> ( <br /> <br />