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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> r <br /> Date Check Needed: Aaril 23, 1998 <br /> I <br /> Mail Check ? Hand Carry Check ?x <br /> <br /> .l General Description: R/W acquisition for Barger Road Reconstruct Project. <br /> .Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: William G. Sullivar and Teresa K. Sullivan <br /> Address:. 5271 Highbanks Road <br /> City/State Springfield, OR Zip 97478 <br /> Phone: 342-4461 ~ Tax ID for 1099: 559-10-2504 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount $4,000.00 <br /> j Line Description: This is for acquisition of additional right of way for the Barger <br /> . Road Improvement project. The affected parcel is tax lot 17-04-20-00-00400 & <br /> 00500. GJN is 3503. R/W number is 1206-03 & 04. <br /> Date.: 4 16 98 Re uested b Russ Ro er <br /> q Y Y <br /> ommodity # ORDER - `f ~~4~-~ <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />