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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: Anri1 15. 1999 <br /> Mail Check ? Hand Carry Check x <br /> i <br /> General Description: Easement acquisition for Wester St. storm sewer <br /> <br /> ~i Dept. Contact: Engineering - Russ Rover ext. 5264 <br /> Vendor Name: Jack T. Harmon Revocable Trust <br /> Address: 3400 County Farm Road <br /> City/State Eugene. OR Zip: 97408 <br /> <br /> I <br /> <br /> j Phone: 343-7435 Tax ID for 1099: 544-10-6922 <br /> Prepay ?x Emergency ?x Separate Check.?x Route to: Russ Royer <br /> Line Amount: $2 000.00 (two thousand dollars) <br /> Line Description: This is for.~ayment of storm water easement for the Wester <br /> Street drainage project. The tax lot of the affected property is 300 on mad <br /> 17-03-08-41. The GJN is 3630. <br /> Date: April 7. 1999 Requested by: Russ Royer 2 <br /> v <br /> C mm i - - <br /> 0 od t ORDER <br /> # # <br /> y <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />