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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: March 20. 1998 <br /> Mail Check ? Hand Carry Check ?x <br /> General Description: R/W 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 /> f <br /> Phone: 689-6657 ~ Tax ID for 1099: 543-48-2752 <br /> <br /> j Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount $2,600.00 <br /> <br /> i <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 /> _ ~~l ~ ~ <br /> Commodity # - ORDER # <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> l~9 <br /> r~ <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> ~s <br /> C <br /> ~L <br /> _ <br /> _ . <br /> <br />