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WORKSHEET FOR PROPERTY PURCHASE <br />Date Check Needed: December 16. 2010 <br />Mail Check G Hand Cary Check Gx <br />General Description: 2010-2011 Property Taxes <br />Dept. Contact: Engineering - Vickie Barnts ext. 6839 <br />Vendor Name: State Forester <br />Address: Oregon Departments of Forestry, Unit 12, P.O. Box 4395. <br />City/State Portland. OR Zip 97208-4395 <br />Phone: N/A <br />Tax ID for 1099: N/A <br />Prepay G Emergency G Separate Check G Route to: Vickie Barnts <br />Line Amount $1,525.14 <br />Line Description: Date: 12-06-2010 Requested by: Vickie Barnts <br />32 property accounts for fire atrol. : v (i r~ 70 70 <br />Charge to acc# :a - per Eric Wold <br />Commodity <br />Line Account Codes _ <br />Notes <br />I&, <br />ORDER # <br />- <br />PWA-LRE c Wsefformslproperty.frm 4/13M <br />