j ~ <br /> irLS <br /> ORDER WORKSHEET FOR PROPERTY PURCHASE ~ l~~ <br /> Date Check Needed: October 20. 2000 ~1~~ , <br /> Mail Check ? Hand Carry Check ?X <br /> General Descri tion: Ac uisition of arkland ro ert r 1 ~ <br /> p q p P P 1L <br /> ~ , <br /> Dept: -Contact: PW/Engineering -Lloyd Williams ext. 2G79 <br /> y <br /> j oZODID08~2~ <br /> Vendor Name: Western Pioneer Title - <br /> ~V 525y <br /> Address: 600 Country Club Road 1D+t(o~bD <br /> <br /> j City/State Eugene, OR Zip 97401 ~~~TI~~.- r~--~°°' <br /> <br /> i <br /> Phone: 484-2900 Tax ID for 1099: NL <br /> Prepay ?X Emergency ?X Separate Check ?X Route to: Lloyd Williams <br /> Line Amount: Five Hundred Thirty Two Thousand Dollars ($532,000.00). <br /> <br /> ~ _ <br /> - - <br /> Lrne Description: This is for the acqu uture park. <br /> Assessor's map number: Aportion -03-08-23, tax lot 1600. Funding is from <br /> . <br /> ,Parkland Acquisition of Parks and Open Space`fun~ no rcf-g me). <br /> Date: 10/13/00 Requested by: Lloyd Williams <br /> r~ <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> ~1 ~J~ S 7~uC U C~G''S"/mil <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> ` f ~Q X40/ov~~fay' <br /> y~.E~ f'.iu ~ <br /> <br />