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<br />ORDER WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: March 20. 1998 <br />Mail Check ^ Hand Carry Check ^x <br />General Description: R1W acquisition for Barger Road Reconstruct Project. <br />Dept. Contact: Engineering -Russ Royer ext. 5264 <br />Vendor Name: Kenneth L. Kokkeler and Charlotte D. Potts <br />Address: 3890 Souza Avenue <br />City/State Eugene, OR Zip 97402 <br />Phone: 689-6657 Tax ID for 1099: 543-48-2752 <br />Prepay Dx Emergency ^X Separate Check ^x Route to: Russ Royer <br />Line Amount .$2,600.00 <br />Line Description: This is for acquisition of additional right of way for the Barger <br />Road Improvement project. The affected parcel is tax lot 17-04-20-00-01400. GJN <br />is 3503. R/W number is 1206-10. <br />Date: 3__./13/98 Requested by: _Russ Royer <br />Commodity # -~ - ORDER # - ~2l <br />Line Account Codes XXXXX <br />XXXXX $ <br />Notes <br /> <br />PWA-LRE c:\user\forms\property.frm 4/13/95 <br />