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' <br /> / CHECK REQUEST <br /> ate Check Needed: November 20, 2003 <br /> <br /> Mail Check ? Hand Carry Check ?7~C <br /> General Description: Escrow Closing <br /> Contact : Vickie Barnts ext . 5714 ----U Qv l l <br /> ~~~eV ~ 5~ <br /> Vendor Name: Cascade Escrow. SATE <br /> Address: 811 Willamette Street ~~~~rAL <br /> City/State Eugene, OR Zip 97401 <br /> Phone: N/A Tax ID for 1099: <br /> Prepay ? Emergency ? Separate Check ?XX Route to: Vickie Barnts <br /> Line Amount X2,767.00 <br /> Line Description: Payment is for closing exchange of property between City <br /> Larson to facilitate 3rd/4th Connector Project-GJ#003827. <br /> Date: 11/20/2003 Requested by: Vickie Barnts x 5714 <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX S <br /> XXXXX $ <br /> Notes Q~J~ ~ y~ <br /> a L, `l <br /> PVVA-LRE c:\user\forms\property.frm 4/13/95 <br /> 11-20-03A11~15 RCVD <br /> <br />