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HE K RE E T <br /> C C QU S <br /> 3 r ~ ~ <br /> Date Check Needed: May 10, 2007 <br /> Mail Check ?XX Hand Carry Check ? <br /> General Description: Fire Patrol on rural City owned properties <br /> i <br /> Dept. Contact: Lloyd Williams _ ext. 2679 <br /> Y <br /> Vendor Name: Lane County Dept. of A & T ~ <br /> 1~'°~ <br /> th ~ ~ . ~ <br /> ~ Address: 125 E. 8 Avenue ~ <br /> ~ ~fa.,.~.. <br /> j City/State: Eugene, OR Zip 97401 ~ ~ ~ <br /> Phone: N/A Tax ID for 1099: N/A <br /> i <br /> E <br /> Prepay ? Emergency X? Separate Check X? Route to: Lloyd Williams PWE-P <br /> i <br /> 4 <br /> Line Amount 30.71 <br /> Line Description: Pa ment of ro ert tax due Fire Patrol Accounts , <br /> from POS funds (GJN 3871, per Carolyn Weiss ~ttE",r.~~j c~u ~r-u~~/r~ <br /> ';Date: 5/02/07 Requested by: Lloyd Williams <br /> i <br /> Commodity # - ORDER # - <br /> Line Account Codes ~ XX)OCX ~ $ <br /> XX)UCX $ <br /> Notes <br /> <br /> { <br /> PWA-LRE c:\user\formS\property.frm 4/13/95 <br /> b~ <br /> <br />