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CHECK REQUEST <br /> t <br /> 'date Check Needed: October 9, 2003 <br /> Mail Check ? Hand Carry Check ?XX <br /> General Description: Purchase park property <br /> Contact: Vickie Barnts ext. 5714 <br /> Vendor Name: American Title Group. <br /> Address: 560 Country Club Rd., ste. 110 <br /> City/State Eugene, OR Zip 97401 <br /> .Phone: 338-3350 Tax ID for 1099: N A <br /> Prepay ? Emergency ? Separate Check ?XX. Route to: Vickie Barnts <br /> Line. Amount X187,708.59 <br /> P~~- l~~ C <br /> Line Description: Buying additional park property to add to donated area. <br /> Date: 10/6/2003 Requested by: Vickie Barnts x 5714 <br /> Commodity # - ORDER # - <br /> Line Account Codes XXXXX $ <br /> XXXXX $ - <br /> Notes ~~-'~~".C)t-~...~ ~Q~ ZU ~ Z_.~ ' SQ`tl <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> ~~bLl ~ Z <br /> - <br /> <br /> { - ~ ~ <br /> 10-07-03A08~05 ~cv~ ~~~~^,.T~~~- <br /> <br />