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CHECK REQUEST <br />Date Check Needed: July 15, 2010 <br />Mail Check ❑ Hand Carry Check ❑XX <br />General Description: Payment for Construction Easement <br />Dept. Contact: Lloyd Williams ext. 2679 <br />Vendor Name: Richard Eddy and Barbara Eddy <br />Address: 2930 Norkenzie Rd. <br />City/State:Eugene, OR <br />Phone: (541) 302-5958 <br />Zip 97408 <br />Tax ID for 1099: N/A <br />Prepay ❑X Emergency ❑X Separate Check ❑X Route to: Lloyd Williams (PWE-WF, 4th Fir) <br />Line Amount 200.00 <br />Line Description: This is for payment of a temporary construction easement. Funds from GJN 4683 <br />(Ayres Pond storm outfall retrofit), per Terry Colvin, project manager. <br />Date: July 2, 2010 Requested by: Lloyd Williams <br />Commodity # _ g7ioo <br />~3/ - 33Z - Cv l5l'Z <br />Line Account Codes XXXXX <br />XXXXX <br />Notes <br />ORDER # <br />DD ZP~/QX~S 2 9 <br />PWA-LRE c:\user\forms\property.frm 4/13/95 <br />SCANNED-PWA <br />DATE: / O <br />INITIALS fY((PL. <br />