ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: July 21, 2000 <br /> Mail Check ? Hand Carry Check ?XX <br /> General Description: Balance of real estate taxes due <br /> Dept. Contact: Engineering -Lloyd Williams ext. 2679 <br /> Vendor Name: Lane County Dept. of A & T <br /> Address: 125 East 8t'' Avenue <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 682-4321 Tax ID for 1099: IVL <br /> Prepay ?XX Emergency ?XX Separate Check ?XX Route to: Lloyd Williams <br /> Line Amount Fifteen and 13/100 Dollars ($15.13). <br /> n~( <br /> Line Description: This is for payment of property taxes. (~4-~ T--a~eoun~t -#441 145). <br /> Funding: one-half from Wastewater operating funds (534) and one-half from <br /> Stormwater operating funds (535). <br /> Date: 7 1/ 1 /00 Requested by: Lloyd Williams <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> f~9- <br /> <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />