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ORDER WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: A~arll ~9. 1999 <br />Mai 1 Check ^ Hand Carry Check ^x <br />General 'Descri pt~ on : Ac ui si ti an of ro ert - 1135 Pro ~ect wetland <br />restarati an . <br />Dept . Contact : . En.gi neeri n~ _ - Russ,,, ,Ro,Yer ext . 5264 <br />vendor Name : Wa 11 ace R . Durbin and Florence M . Groesbeck <br />Address : 2197 Wood Acres Drive <br />Ci tylState __ Eugene . ,,, ,O,R,,,..,. <br />^, <br />Phone: 344-5147 <br />Zip 97401 <br />Tax ID for 1099: 543-05-0711 <br />Prepay ^x Emergency ^x Separate Check ^x Route to: Russ _Ro,yer <br />Line Amount X900.00 <br />Line Description: This is for payment of the farmer's crop affected by the <br />acquisition of the Durbin/Groesbeck property for the 1135 wetland restoration <br />project. Good Job Number is 3531. Project Right of Way # 1184-O1. <br />Date: 4 23/99 Requested by: Russ Rover <br />**~************~********~****~~*~**~***********~****~ *~r**~**~*******~******** <br />Commodity # - `QRD R # - <br />Line Account Codes XXXXX ~%~...i 1~~~ ~ j,1G`~~ ~~~~~ <br />xXxxx <br />Notes <br /> <br />PWA-LRE c:l~serlformslproperty.frm 4/3195 <br />