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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> DOS ZOGtOOD~y913 <br /> ~ - Date Check Needed: August 19. 1999 <br /> ~ <br /> Mail Check ? Hand Carry Check ?x l~h1E~ / ~o~~'/Lb.Ov <br /> <br /> i <br /> General Description: Acquisition price for proposed 4 acre Thompson park site. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 x~,-~~~ <br /> Vendor Name: Western Pioneer Titie CompanX ~/f~~~~ <br /> Address: 1200 Executive Parkway <br /> City/State Eugene, OR Zip 97401 <br /> Phone: 484-2900 Tax iD for 1099: ,provided by escrow <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount: $28,700.00 <br /> Line Description: This is for the purchase price of the park site located on Quarry <br /> Lane, off Willow Creek Road. The purchase includes the underlying fee interest in <br /> tax lot number 5200 on map number 18-04-05-00. The City will be purchasing <br /> sub'ect to a conservation easement bein urchased b BLM. Fundin is from the <br /> J 9P Y g <br /> Parks and Open Space acquisition fund number. If you need a more specific <br /> number, please check with Andrea Riner at 4909. Thanks. <br /> Date: 8 1/ 6/99 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes 5~~'~3 <br /> _ _ <br /> <br />