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~ • <br />ADVANCE PARTIAL PAYMENT OF RELOCATION BENEFITS <br />I, the undersigned, do hereby request a partial payment of my Commercial Relocation Benefits <br />from Marion County in the amount of $10,000 due me as part of my relocation benefits. This <br />advance is required in order to provide funds necessary for my relocation. <br />I acknowledge that the above advance reduces my available Commercial Relocation Benefits <br />from $20,000 to $10,000. I also acknowledge that I must relocate and leave my current residence <br />in a clean, vacant and orderly manner in order to receive my remaining relocation benefit. <br />Dated this a5~ day of l~.Q,v~-C~n , 1997 <br />$et~c.d itit <br />Doug B~ 557 Court Street SE Salem, Oregon 97301 <br />...J~--r~._ J.; ~ <br />Signature <br />CONCURRENCE <br />The above advance has been requested and supported by the claimant and the amount of <br />the advance is considered reasonable and necessary. <br />31~~a <br />Date <br />~w- ~. <br />Agent <br />