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~ WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: October 14,.2005 <br /> <br /> 1 <br /> Mail Check ? Hand Carry Check ?x <br /> I <br /> General Description: Parks and Open Space and stormwater acquisition. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Cascade Title and Escrow Company <br /> <br /> i <br /> Address: 811 Willamette St., please do not mail direct <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 687-2233 Tax ID for 1099: N/A <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount $200,000.00 <br /> Line Description: This is an acquisition for PO and ridgeline - 40% of the funding <br /> y' - source or $80,000; POS bond neighbor d parks account - 37.5% of the total. or <br /> $75,000; and stormwater corridor uisition fund -the remaining 22.5% of the total <br /> $45,000. The tax lot number ' 8-04-03 tax lot 5106. <br /> Date: 10/11/05 Requested by: Russ Rover l~ - <br /> Commodity # - ORDER # - <br /> Line Account Codes X~OCX <br /> XX~;XX <br /> Notes <br /> ~~y <br /> r ~ <br /> s,~ ~ s~ <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> ~~'a~.t ~ ~4 lt~ 'U/~, I~5 <br /> _ _ _ _ <br /> <br />