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i aa~o t 3 ~ <br /> ~~'c ODC~O t 3 205 <br /> ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: June 24, 1999 <br /> Mail Check ? Hand Carry Check x <br /> General Description: Temporary Easement acquisition for Wester St. storm sewer <br /> Dept. Contact: Engineering -Russ Roomer ext. 5264 <br /> <br /> i <br /> Vendor Name: Jack T. Harmon Revocable Trust <br /> <br /> ~ Address: 3400 County Farm Road <br /> City/State Eugene. OR Zip: 97408 <br /> Phone: 343-7435 Tax ID for 1099: 544-10-6922 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ RoKer <br /> Line Amount: $1 500.00 (one thousand five hundred dollars) <br /> Line Description: This is for payment of a tem.~orary construction easement for the <br /> Wester Street drainage project The tax lot of the affected property is 300 on map <br /> 17-03-08-41. The GJN is 3630. <br /> Date: June 17. 1999 Requested by: Russ Royer <br /> Commodity # - ORDER. # - <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> 531 ~33Z 5(oY~~~t~Z~ooo 9~ 9$5~ I(o <br /> <br />