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` CHECK REQUEST ~-'~~~ <br />~-`~ <br />Date Check Needed: April 29, 2004 <br />Mail Check ^ Hand Carry Check ^XX <br />General Description: Purchase Right of. Way <br />Dept. Contact: Lloyd Williams ext. 2679 <br />Vendor Name: Mike & Janelle Cobarrubias <br />Address: 1140 Willagillespie Rd.. #15 <br />City/State Eugene. OR Zip 97401 <br />Phone: 463-1617 Tax iD for 1099:93-1265828 <br />Prepay ^X Emergency ^X Separate Check ^X Route to: Lloyd Williams <br />Line Amount 7 432.00 <br />Line Description: Purchase of Right of Way/River Avenue Project Fund GJN 3693 <br />Date: 4/22/04 Requested by: Lloyd Williams <br />Commodity # -~ ORDER # - <br />Line Account Codes ~ XXXXX $ <br />XX)WC $ <br />Notes <br />PWA-LRE c:\user\forms\property.frm 4/13/95 <br />04-22-04P02~~0 RCVD <br />__ _ __ <br />~- <br />