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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> ' Date Check Needed: July 21, 2000 ~ <br /> yy~~ i <br /> Mail Check ? Hand Carry Check ?x <br /> x~ <br /> ~~y <br /> General.Description: HOA dues and grounds maintenance. 7~j~wG' <br /> Dept. Contact: Engineering. -Lloyd Williams ,ext. 2679 <br /> Vendor Name: Valley River Homeowners Association, Inc. <br /> Address: 4725 Village Plaza Look, #201 <br /> City/State. Eugene, OR Zip 97401 - <br /> Phone: 684-4639 Tax ID for 1099: NL <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Lloyd Williams <br /> Line Amount. $260.00 (TWO HUNDRED SIXTY AND NO/100 DOLLARS. <br /> Line Description: This is for Homeowner dues and grounds maintenance on Lot 9 <br /> in Valley River Village (East Bank Bike Path project). Assessor's map number: <br /> 17-04-13-42, tax lot 129. GJN 3609. Vendor Invoice 3243. <br /> Date: 7 1/ 1./00 Requested by: Lloyd Williams <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> p XXXXX S <br /> .Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> _ _ _ <br /> <br />