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ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: January 2. 1998 <br /> Mail.Check ? Hand Carry Check ?x <br /> General Description: R/W acquisition for Barger Force Main Project. <br /> Dept. Contact: ,Engineering -Russ Royer -ext. 5264 <br /> _Vendor'Name: David M. Balthrop and Jeanette R. Balthrop <br /> Address: 775 South 57th Street- <br /> City/State. .Springfield. OR Zip 97478 <br /> Phone: 744-'7838 Tax ID for 1099: 541-68-9086 <br /> Prepay ?x Emergency ?x Separate .Check ?x Route to: Russ Royer <br /> Line Amount $2.200.00 <br /> ascription: This is for.-acquisition of additional right ofway for the , <br /> ~ ..Barger pump statio d force main project.. The affected parcel is tax lot <br /> 17- - - - 400.' GJN is 3579. R/W.number -is 1205-06. <br /> Date: 12/17/97 ~ Requested by: Russ Royer <br /> Commodity # - ORDER # - <br /> <br /> - Line Account Code~~ ~ Z XXXXX / $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> <br />