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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> I~0 ~ ~ t~~~~~ la31 <br /> ~ Date Check Needed: July 15, 1999 <br /> IZEC#k DOGl`~d 15/0, <br /> II Mail Check ? Hand Carry Check ?x <br /> I <br /> General Description: Relocation benefits - 1 135 Project wetland restoration. <br /> it Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> j Vendor Name: Gary R. Kennedy and Cathy L. Kennedy <br /> i <br /> Address: 90362 Prairie Road <br /> City/State Eugene, OR Zip 97402 <br /> <br /> i <br /> Phone: 689-1350 Tax ID for 1099: 542-82-1849 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount 56,685.92 <br /> Line Description: This is for the relocation replacement housing differential on the <br /> Kennedy property for the 1 135 wetland restoration project. Good Job Number is <br /> 3531. Project Right of Way # 1 184-02. <br /> Date: 7/8/99 Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> <br /> j Line Account Codes XXXXX 5 <br /> XXXXX 5 <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> _ _ _ <br /> <br />