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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> } <br /> Date Check Needed: April 10, 1998 <br /> 110ai~-G~e~7 Hand Carry Check ?x <br /> General Description: RIW acauisition for Barger Road Reconstruct Project. <br /> Dept. Contact: Engineering = Russ Royer ext. 5264 <br /> Vendor Name: Fredrick D. Haase and Linda S. Haase <br /> Address: 22975 Donna Lane <br /> City/State Bend. OR Zip 97701 <br /> Phone: 541-383-3673 Tax 1D for 1099: 540=54-2433 <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount S 15,000.00 <br /> Line Description: This is for acquisition of additional right of way for the Barger <br /> Road Improvement project.. The affected parcel is tax lot 17-04-19-00-00100. GJN <br /> is 3503. R/W number is 1206-13. <br /> Date: 4/3/98 Requested by: Russ Royer <br /> ~ ~ <br /> Commodity # - ORDER . <br /> Line Account Codes C~ XXXXX ~~SD T` $ <br /> XXXXX $ <br /> Notes <br /> <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> > - <br /> <br />