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r~-.. _ <br /> WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: April 25, 2008 <br /> Mail Check ? Hand Carry Check ?x <br /> General Description: Payment for Wastewater easement and a temporary construction <br /> easement for the Legacy Wastewater Project. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Dennis Joll and Debby Joll. <br /> Address: 430 Glen Haven Road <br /> City/State Eugene, OR Zip 97402 <br /> Phone: 541-689-1786 Tax ID for 1099: To be provided <br /> Prepay ? Emergency X Separate Check ? Route to: Russ Royer <br /> Line Amount $51,078.00 <br /> Line Description:Funding from WW Legacy Interceptor Royal/Terry- GJ#004514 <br /> Wastewater Easement- $49,113 <br /> Temporary Construction Easement- $1,965 <br /> Date: 4/23/2008 Requested by: Vickie Barnts <br /> Commodity # - ORDER # - <br /> "7 <br /> Line Account Codes 33~- XX)OCX 6 S.S°~ <br /> XX)OCX <br /> Notes <br /> <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />