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WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: 9/ 30/ 2010 <br />Mail Check ❑ Hand Carry Check XXXXXXX❑x <br />General Description: <br />Dept. Contact: Vickie Barnts ext. 6839 <br />Vendor Name: Lane County <br />Address: 125 E. 81h Avenue <br />City/State Eugene, OR Zip 97401 <br />Phone: N/A Tax ID for 1099: <br />Prepay ❑ Emergency Separate Check XXXXX Route to: Vickie Barnts <br />Line Amount $ 1.000.00 <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 />C''~=k~" 3O5 <br />Date: 9/21/10 Requested by: Russ Rover <br />r+.rtx+.~rkeKr~.wrk,k.`w.t~Fxxawx~w,ek~~wkn~xa~,trrtkarw~~~,w-wwr~~w~r~a <br />Commodity # <br />- <br />ORDER # <br />Line Account Codes 531-9335-78000-975026 $1,000 <br />Notes <br />PWA-LRE c:WserVorms\property.frm 4/13/95 <br />