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WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: August 5, 2010 <br />Mail Check G Hand Carry Check XXXXXXXGx <br />General Description: <br />Dept. Contact: Vickie Barnts ext. 6839 <br />Vendor Name: Gordon Zehrung and Sally Zehrung <br />Address: 1750 Tabor Street <br />City/State Eugene. OR Zip 97401 <br />Phone: N/A <br />Tax ID for 1099: (Mr.) 542-32-8955 <br />Prepay G Emergency Separate Check XXXXX Route to: Vickie Barnts <br />Line Amount $ 1,530.00 <br />Line Description: This is an easement purchase for the Willamette Alley wastewater <br />project. <br />Charge to : GJ# 4693 <br />Date: 7/27/2010 Requested by: Vickie Barnts <br />Commodity # - ORDER # <br />Line Account Codes 531-9332-78100-905145 $1,530.00 <br />Notes <br />rim <br />PWA-LRE cAuser\forms\pmperty.frm 4/13/95 <br />S CAN N ED-PWA <br />DATE: <br />1NMAL6:j <br />