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WORKSHEET FOR PROPERTY PURCHASE <br /> ~g /~j~ <br /> <br /> -Date Check Needed: 10/2/2008 <br /> ~ Mail Check ~ Hand Carry Check. ~ <br /> ~ <br /> General Description: Delta Ponds Bike Bridge project. ~ <br /> Valley- River Assembly of God GJ#004378 ~ ~;~,~1 ~ <br /> Department Contact: Engineering-Vickie B ext. x6839 <br /> Vendor Name: Cascade Escrow <br /> Address: 811 Willamette St. <br /> City/State: Eugene, OR Zip 97401 <br /> Phone: 541-687-2233 Tax ID for 1099: N/A <br /> Prepay ' ~ Emergency ~ Separate Check Route check to: Vickie Barnts <br /> Line Amount: 321.00 <br /> Line Description: The original escrow statement was incorrect in that it did not have <br /> the charge for the title insurance. This request is for the additional funds to complete <br /> the payment to escrow for the purchase of easements for the project. <br /> Date of Check Request: 9/29/2008 Requested by: Vickie Barnts <br /> Li~ne~ ~Ac®count Codes {(g°~+/y ~'f~~ r~''~}~°''~j <br /> T <br /> Notes ~ <br /> ~ ~ <br /> C:\Documents and Settings\cewevlb\My Documents\CHECK REQUESTS\VR Assembly Church add. ch req.doc <br /> Updated: 9/29/2008 PWAkIa <br /> <br />