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09/25/03 TAU 12 :16 FAX 1 541 683 6767 EUG SLbi PROCUREMENT —IRK X002 <br /> ORDER FOR SUPPLIES OR SERVICES PAGE OR vr+QES <br /> IMP • - 7; • tr. . ,. • k__ • - . • - -n - -s, •a• <br /> 1- DATE OF ORDER 2. CONTRACT NO. (if any) 6_ SHIP TO: Maifiyst9N: Cr aiq <br /> 09/24/2003 e_ NAME OF CONSIGNEE <br /> 3. r 7R NO_ 4. REQUISITION/REFERENCE NO. BLM EUGENE DISTRICT OFFICE <br /> _p03o074 b_ STREET ADDRESS <br /> 5, ISSUING OFFICE (Address corfespondohco le) 2890 CHAD DR <br /> PO BOX 10226 <br /> BLM EUGENE DISTRICT OFFICE <br /> 2890 CHAD DR <br /> PO BOX 10226 c_ CITY d. STATE e. ZIP CODE <br /> EUGENE OR 97440 -2226 EUGENE OR 97440-2226 <br /> 7_ TO: f. SHIP VIA <br /> a_ NAME OF CONTRACTOR N/A <br /> $, TYPE OF ORDER <br /> b. COMPANY NAME © a. PURCHASE <br /> clTT OF EUGENE b. DELIVERY - Except for billing <br /> REFERENCE YOUR: <br /> c - STREET ADDRESS Instructions on the reVeree, this <br /> 865 PEARL STREET delivery order is sub)act In <br /> inotrvat)one ennialhcd on thk. side <br /> Plesse furnish rho folk:041 on Lb, t■fms and only of this form and Is issued <br /> conditions specified on both eldea of this order and sub)eet to the terms and emnrlilien- <br /> d. CITY e. STATE f_ ZIP CODE on rho atached sheet. rf any, including delivery pa of the rabovm- nvmlmred cone -oA <br /> EUGENE OR 97401 Indicated_ <br /> 9, ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE <br /> 2009 - - CRa95- -2522- - 2423JM- - •MI49 <br /> Pat Johnston, 541 -520 -2159 <br /> 11. BUSINCSS CLASSIFICATION (Check appropdwt. bgY(es)) <br /> 7 a. SMALL b. OTHER THAN SMALL Li c, DISADVANTAGED ❑ d. WOMEN - OWNED <br /> 1Z, F,O.B. POINT 14. QOVERNMENT B/L NO, 15. DEUVEF TO F.O.B. POINT 18_ DISCOUNT TERMS <br /> Destination ON OR BEFORE (Date) <br /> 13_ PLACE or N/A 10 days 5a <br /> 12/31/2003 20 days Y5 <br /> a. INSPECTION b. ACCEPTANCE 30 days <br /> DE IATION DESTINATION days <br /> 17. SCHEDULE (See reverse for Rejections) _ <br /> QUANTITY UNIT QUANTITY <br /> ITEM NO. SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED <br /> (a) (b) (c) (d) (9) (f) (0) <br /> SEE LINE ITEM DETAIL <br /> *At:taohrian,t 1 is made a part of this order <br /> 1e, SHIPPING POINT 19_ GROSS SHIPPING WEIGHT 20. INVOICE NO. <br /> 17(h) TOT, <br /> SEE <br /> 21 MAIL INVOICE TO :MartyB M- Craig (Cord_ <br /> INSTRUCTIONS a. NAME papas) <br /> ON DLM EUGENE DISTRICT OFFICE <br /> REVERSE b_ STREET ADDRESS (or P.O. Boy) <br /> 2890 CHAD DR,PO BOA 107.,29 17(I) <br /> 34,912A0 DRANO <br /> C. CITY <br /> d. STATE e. ZIP CODE TOTAL <br /> EUGENE , OR 47440 -2226 - <br /> Z .ITEP STATES OP 23, NAME (Typed) <br /> AMERICA BY (Signature) Marlys M, Craig <br /> ,+ 1 /► • TITLE: CONTRACT1NO/0ROERING OFFICER <br /> NSN 7540 -01.162-2093 OPTIONAL FORM 347 (REV, 0195) <br /> Prclaus edIL10 ■ nor y'■bla Pnuxnbed by 05A/FAR 40 CFR 5,4 <br /> L00 /900 fj NINIQV Md aNaDaa JO AIID 9289 Z89 TVS IVA rOetT QAM tOOZ /TZ /TO <br />