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05120I1997 1~:2~ 5~~-29--2E~5 HANN~ MCELDOWNEY P~GE ~5 <br />~ <br />`~.r+t <br />Aieacy: <br />Psojecc: <br />FUe e: <br />COMMON CAItRIER, BUSINESS, FARM OR NPO MOVE APPLICATION <br />I henby maYc applicatian for relocatioa paymeat for aetusl reaaonable moving coets. It is understood that payme,nt usually cannot <br />be mufe for moving costs far more than SO miles. <br />INSTRUCTIONS: You may ehoose any eommon cariier (Public Utility Commiasion licen9ed mov~r) to suDmlt an <br />csiimate of costs. After scicccing a movor, contact him aad czplaia tha[ you ate to be relocated <br />by a highway project. Give him your address ~ad ask him to visit your locstion to prepuc an <br />esdmate of cost snd to complete c~s form. Wben thle form ia fully completed, return It in the <br />envelope prnvided. <br />Apglicmt's n~me: <br />MARION COUNTY <br />Original Address: SENATOR BLOCg, 200 HIGH STREET NE Pboa~: 588-7915 <br />New Addtess: YARIOUS <br />Phone: 588-7915 <br />Sy my s3gAarun I cartiiy that: <br />1. 'Ihe lisring ( oa tevecse side) a# petsoual propcny to b~ moved is camplete and acetttate, to t~e best of my <br />knowledge aad includes no icoais whic~ are not now on the pnmises. <br />2. <br />3 <br />4 <br />I havo selected the moviag wmpany shorvn be3ow to haadle my moving. MOYING INYENTORY <br />Av~ILABLE UPON REQUEST <br />I understaad t~at payment will be msde direaly co the moving compaay. pgyKENT MADE BY MARION <br />I will leavo the premiae,s clem and orderly. <br />COUNTY <br />BUILDING DElYIOLISHED <br />MARION <br />COUNTY <br />Name of moving company: CAPITAL CITY TRANSFER/CUI~IHINGS MgYFLOWER <br />Address of maYing company:POST OFFICE BO% 7371 SALF~., OR 97303 f PO BO% 148. SALEM OR 973C <br />Followfng is our astimat~ of cost of moving fuiniture aad persoual property at the above address. Estimate is b~scd on t~e now <br />address (terminal) if it is kaown. T~e estimate is based on a scandud moving cast aad may include wardrobe service, pscking or <br />any other special bmdling. <br />~~i~u~'Moving costs S 53 , 037 • 23 <br />D Bascd oe ~saumed move of 50 miles d4stana <br />235 IiADRONA STREET SE SALEIri OR. & 101 HIGH ST NE <br />~ Based on move to 3150 LANCASTER ST NE, SALEI~I OR; 100 HI~H STREET NE, SALEPI, OREGON <br />By RFQ-CONTRACTS AWARDED <br />(for moving eomp~nY) <br />Inspection of the subject property was made <br />and was found vacaat, <br />cleaa Qad orderly. "I~e relocates has moved to <br />f1Ben~ <br />Date <br />Paac 1 Hanna, McEldowacy & Associatcs (303) 297-9388 <br />