ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> ;i Date Check Needed: November 19, 1998 <br /> Mail Check ? Hand Carry Check ?x <br /> I' General Description: R/W acquisition for Terr~Street Project. <br /> Dept. Contact: Enginee-ring -Russ Royer ext. 5264 <br /> Vendor Name: Phillip S. Ostrom <br /> I; Address: 4974 Parsons Avenue <br /> I <br /> City/State Eugene, OR Zip 97402 <br /> Phone: 461-2287 Tax ID for 1099: <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount 270.00 <br /> Line Description: This is for acquisition of additional right of way for Terry Street <br /> ` - proje~jct. The tax lot number of the affected parcel is 17-04-28-23-10800. The <br /> Good Job Number is 3599. <br /> Date: 1 1 /10/98 Requested by: Russ Royer <br /> Commodity # - ORDER # I ~ - ~f ~ `J <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />