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WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: September 30. 2010 <br />Mail Check G Hand Cary Check XXXXXXXGx <br />General Description: <br />Dept. Contact: Vickie Barnts ext. 6839 <br />Vendor Name: JRD Parking LLC <br />Address: 605 1st Ave. Ste. #600 <br />City/State Seattle, WA Zip 98104 <br />Phone: N/A Tax ID for 1099: <br />Prepay G Emergency Separate Check XXXXX Route to: Vickie Barnts <br />Line Amount $ 1,150.00 <br />Line Description: This is an easement purchase for the Willamette Alley wastewater <br />project. <br />Charge to : GJ# 4693 <br />Date: 9/27/2010 Requested by: Vickie Barnts <br />Commodity # - ORDER # <br />Line Account Codes 532-9332-78000-905145 $1,150.00 <br />Notes "f Do'. 20l 160q(-19F- <br />IZI <br />PWA-LRE c:luselforms\property.frm 4/13/95 <br />