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WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: October 28. 2010 <br />Mail Check G Hand Cary Check XXXXXXXGx <br />General Description: <br />Dept. Contact: Vickie Bamts ext. 6839 <br />Vendor Name: AT&T Communications. Inc. of the Pacific Northwest <br />Address: 505 E. Bluff Drive. MP292 <br />City/State Anchorage, AK Zip 99501-1100 <br />Phone: Tax ID for 1099: N/A <br />Prepay G Emergency Separate Check XXXXX Route to: Vickie Barnts <br />Line Amount $ 1.000.00 <br />Line Description: This is an easement purchase for the Willamette Alley wastewater <br />project. <br />Charge to : GJ# 4693 <br />Date: 10/25/2010 Requested by: Vickie Barnts ✓D : ~lll j ~29 <br />Commodity # ORDER # <br />- <br />Line Account Codes 532-9332-78100-905145 $-1 <br />Notes <br />PWA-LRE c Iuser\forms\property.frm 4/13/95 <br />