ORDER WORKSHEET FOR PROPERTY PURCHASE <br /> Date Check Needed: March 20, 1998 <br /> Mail Check ? Hand Carry Check ?x <br /> I <br /> General Description: R/W acquisition for Barger Road Reconstruct Protect. <br /> I <br /> Dept. Contact: Engineering -.Russ Royer ext. 5264 <br /> Vendor Name:Malcolm S. Burrell.Jill D. Burrell,Steven W. Lee,& Sally A.Lee <br /> Address: ~/n Pr~~harrl F~,~ air ~ ~~~o~~LV <br /> City/State Eugene, OR Zip 97401 <br /> ~ Phone: 345-4860 Tax ID .for 1099: 544-66-5513 <br /> <br /> i <br /> i <br /> Prepay ?x Emergency ?x Separate Check ?x Route to: Russ Royer <br /> Line Amount $54,545.00 <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 17-04-20-00-01500. GJN <br /> is 3503. R/W number is 1206-11. <br /> Date: 3 13 98 Requested by: Russ Royer <br /> 1, v~ <br /> Commodity # - ORDER # <br /> ~n f <br /> Line Account Codes XXXXX $ <br /> XXXXX $ <br /> Notes <br /> PWA-LRE c:\user\forms\property.frm 4/13/95 <br /> _ _ _ <br /> <br />