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<br />Date Check Needed: August 24, 2006 <br />CHECK REQUEST <br />~""' Mail Check ^ Hand Carry Check ^XX <br />General Description: Purchase of easement <br />p~pt. Contact: Lloyd Williams ext. 2679 <br />Vendor Name: Mike and Janelle Cobarrubias <br />Address: 57 CarthageAvenue " <br />City/State Eugene, OR Zip 97404 <br />Phone: N/A Tax I D for 1099: N/A <br />~T ~1 Zl T6t~ sac <br />~~~TiAL~.,~.~~ g~ <br />Prepay ^X Emergency ^X Separate Check ^X Route to: Lloyd Williams (PWE-P) <br />tine Amount 200.00 <br />Line Description: Purchase of a utility easement in the River Avenue Improvement Project <br />GJN 3693. <br />Date: 8/21 /06 Requested by: Lloyd Williams <br />Commodity # - <br />Lirtie Account Codes X~OCX <br />X~OCX <br />Notes <br />ORDER # - <br />Q <br />Q <br />PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />OII-21-06 A10~19 ITd <br />- -MI <br />