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WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: August 16, 2007 <br /> <br /> i <br /> Mail Check ? Hand Carry Check ?x <br /> General Description: Street Improvement Costs for City lots <br /> Braewood Hills, 3rd Addition, PUD <br /> Dept. Contact: Engineering -Vickie Barnts ext. 6839 <br /> Vendor Name: The Piculell Grou Inc. <br /> p, <br /> Address: 4838 S.W. Scholls Ferry Road ~ ~ )13~~'~- <br /> . City/State Portland, OR Zip 97225 <br /> Phone: 503-292-8678 Tax ID for 1099: N/A ~ ~.v` x ~®D~ <br /> ~ a~~ C~~? <br /> Prepay ? Emergency ? Separate Check ? Route to: Vickie Barnts <br /> /r-~~a~ <br /> Line Amount 57 990.24 <br /> ` Line Description: This is reimbursement for street improvement costs agreed upon by <br /> the City at the time of purchase of the lots and property from Cuddeback/Piculell <br /> (2003). The funding should be charged to Parks SDC Fund <br /> Date: 8/8/2007 Requested by: Vickie- Barnts <br /> Commodity # - ORDER # - <br /> ` ~ ~~06~ - <br /> Line Account Codes 3~ l 4335 X)C{XX `~35c~"2 ~ <br /> )OOOCX <br /> Notes <br /> t <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 . <br /> <br />