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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> ' Date Check Needed: June 16. 2000 ZODOD 2581 Z <br /> Mail Check ? Hand Carry Check ?XX ~~~.3,~~ <br /> n ~ <br /> General Description: Acquisition of property for future Maintenance Dept ~/-G~_ <br /> Expansion. ~ifs2~UV ~S~'~'/ <br /> Dept. Contact: Engineering - Lloyd Williams ext. 2679 <br /> Vendor Narne: Fidelity National Title Ins. Co. Of Oregon <br /> Address: 4710 Village Plaza Loop, Suite 240 <br /> <br /> i <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 684-9960 Tax ID for 1099: <br /> Prepay ?x Emergency ?XX Separate Check ?XX Route to: Lloyd Williams <br /> Line Amount Ninety Nine Thousand Four Hundred Fifty and 61 /100 Dollars <br /> (599,450.61) <br /> Line Description: This is for the acquisition of 1950 Roosevelt, Eugene; for future <br /> public works Maintenance expansion of shops. Assessor's map number 17-04-25~ <br /> 24, tax lot 4400. Johnny Medlin would like funding to be 1 /3 from road funds <br /> (131), 1 /3 from Wastewater (534), and 1 /3 from Storm Fund (535). <br /> Date: 6 9 00 Requested by: Lloyd Williams <br /> -~~-~~~-~-~~~*-x-#~-~~-x-~~-~-~~-*-x-~-~~-~-~*-x-*-x-*-~~--~~-~-~-~-x-~~~~~-~-~~-~-~-~~-~~--x--~-~~-x--~ <br /> _ _ <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX 5 <br /> XXXXX $ <br /> Notes <br /> <br />