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<br /> <br /> <br />WORKSHEET FOR PROPERTY PURCHASE <br /> <br /> <br />Date Check Needed: _9/ 30/ 2010__ <br /> <br />Mail Check Hand Carry Check XXXXXXXx <br />GG <br /> <br />General Description: <br /> <br />Dept. Contact: Vickie Barnts__________________ ext. _6839______ <br /> <br />Vendor Name: Lane County <br /> <br />th <br />Address: ___125 E. 8 Avenue <br /> <br />City/State Eugene, OR___________ Zip ___97401___________ <br /> <br />Phone: N/A Tax ID for 1099: <br /> <br />Prepay Emergency Separate Check XXXXX Route to: Vickie Barnts <br />G <br /> <br />Line Amount $_1,000.00____________ <br /> <br />Line Description: This is a purchase of a Lane County parcel just west of Beltline along <br />the channel connecting to Golden Gardens. Charge to Stormwater Acquisition funds. <br /> <br /> <br />Date: ___9/21/10____________ Requested by: Russ Royer <br /> <br />************************************************************** <br /> <br />Commodity #__________-______ ORDER #_____-___________ <br /> <br />Line Account Codes 531-9335-78000-975026 $1,000 <br /> <br /> <br />Notes <br />____________________________________________________________________ <br /> <br />_____________________________________________________________________ <br /> <br />____________________________________________________________________ <br /> <br /> <br />PWA-LRE c:\user\forms\property.frm 4/13/95 <br />