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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> , <br /> Po ~ 2oooon~o3~ <br /> ' Date Check Needed: July 15, 1999 <br /> ~ R~C#~ OOd00 15 I o `f <br /> Mail Check ? Hand Carry Check ?x <br /> General Description: Relocation benefits - 1 135 Project wetland restoration. <br /> I <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Western Pioneer Title Company <br /> Address: 1200 Executive Parkway, Suite 100 <br /> City/State Eugene, OR Zip 97401 <br /> <br /> i <br /> Phone: 484-2900 Tax ID for 1099: Escrow will provide <br /> <br /> ICI Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount $5,250.00 <br /> Line Description: This is for the relocation replacement housing claim on the <br /> Disher/Olesen property for the 1 135 wetland restoration project. Good Job <br /> Number is 3531. Project Right of Way # 1 184-03. <br /> .Date: 7/8/99 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> . XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> _ _ . <br /> <br />