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WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: March 9, 20.06 <br /> Mail Check ? Hand Carry Check ?x <br /> General Description: R/W Acquisitions for River Avenue Improvement project. <br /> Dept. Contact: Engineering -Russ Royer ext. 5264 <br /> Vendor Name: Rucker Properties, LLC <br /> Address: PO Box 1478, please do not mail direct <br /> City/State Veneta, OR Zip 97487 <br /> Phone: 913-9014. Tax ID for 1099: 45-0528226 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Rover <br /> Line Amount $13,210.00 <br /> Line Description: This is an acquisition for the River Avenue Improvement project - GJN <br /> 3693. The tax lot number is 1000 on map 17-04-13-22. <br /> <br /> . Date: 3/3/06 Requested by: Russ Rover <br /> Commodity # - ORDER # - <br /> Line Account Codes ~;XXXX <br /> $ <br /> X~OCX <br /> Notes <br /> K~. <br /> _ , w <br /> J <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> I <br /> <br />