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WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: September 2. 2010 <br />Mail Check G Hand Carry Check XXXXXXXGx <br />General Description: <br />Dept. Contact: Vickie Barnts ext. 6839 <br />Vendor Name: LaneCounty Circuit Court <br />Address: 125 E. 8t' Ave. <br />City/State Eugene, OR Zip 97401 <br />Phone: N/A Tax ID for 1099: <br />Prepay G Emergency Separate Check XXXXX Route to: Vickie Barnts <br />Line Amount 25,000 <br />Line Description: This is condemnation filing for Delta Sand and Gravel easement <br />Charge to : GJ# 4279-West Bank Path Extension <br />Date: 8/25/2010 Requested by: Vickie Barnts 1~' ?,0(1 bo 32 fs0 <br />Commodity # - ORDER # <br />Line Account Codes XXXXX <br />Notes <br />PWA-LRE c:\us AformMproperty.frm 4113/95 <br />