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i <br />WORKSHEET FOR PROPERTY PURCHASE _ _4A <br />Date Check Needed: July 31, 2008 INITIALS: <br />Mail Checl~ ❑ Hand Carry Check ❑x <br />General Description: Survey Property Line Adjustment for Ridgeline Trail acquisition. <br />Childs is the seller. The escrow has closed. <br />Dept. Conoct: Engineering -Vickie Barnts ext. 6839 <br />Vendor Name: Branch Engineering, Inc. <br />Ad ress: 310 5t' Street. <br />City/State Springfield OR Zip 97477 <br />Phone: 541-746-0637 Tax ID for 1099: 93-1260517 <br />Prepay ❑ Emergency Separate Checko Route to: Vickie Barnts - <br />Line Amount $6,600 <br />Line Description: Funding source: 2006 Bond <br />Date7/22/ 008 Requested by: Vickie Barnts <br />Commodi y # - ORDER # <br />Line Acco nt Codes <br />XXXXX <br />Notes <br />4L q1?-dc2 <br />PWA-LRE OuserVorms\properly.frm 4/13/95 <br />~ q ~0 I~`83 <br />~0 ~ <br />