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Central Services <br /> Finance/Purchasing <br /> Purchase Order Date Revision Page 100 West 10th Avenue, Suite 400 <br /> COE-2008100129 08/23/2007 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> N30 Destination COMMON (541) 682-6233 Fax <br /> 3u er : PW Admin-Financial Svcs <br /> +~'bate Needed: 10/11/2007 <br /> • • <br /> VENDOR: SHIP TO: <br /> BLACKLINE INC City of Eugene Public Works <br /> PO BOX 28807 Administration Division <br /> SPOKANE WA 99228 858 Pearl Street 4th Floor <br /> Eugene OR 97401 <br /> Phone: <br /> Fax: <br /> Line# Description Qty. /Unit Unit Price Total <br /> Change Order #1: Increase PO by $18,828.00 per email <br /> request from Debbie Clark, this PO was not originally <br /> set up with a contingency fund, New PO total is <br /> $186,773.94. 10/11/07 sg <br /> 1-1 Fund 133 GJN4437 - 2007 Pavement Preservation 167,945.94 EA 1.00 167,945.94 <br /> Program-Slurry Seals <br /> GJN4437 - 2007 Pavement Preservation Program-Slurry <br /> Seals. <br /> Foothill Drive, Hillside Drive, Larch Street, Larkwood <br /> Street, Mahalo Drive, Manzanita Street, Mimosa Street, <br /> Snell Street, Sprague Street <br /> Contract #2008-05 <br /> Project Manager: Matt Rodrigues x6036 PWE-Hotel <br /> DO NOT MAIL PO. SEND TO DEBBIE CLARK x5728 PWA <br /> 2-1 Contingency- Fund 133 GJN4437 - 2007 Pavement 18,828.00 EA 1.00 18,828.00 <br /> Preservation Program-Slurry Seals <br /> Contract Number: 2008-05 TOTAL: <br /> Price Agreement: 186,773.94 <br /> INSTRUCTIONS TO VENDOR <br /> 1. Show this purchase order number on all invoices, packages, and the City Purchasing Manager. <br /> related correspondence. 4. Acknowledge this order immediately and advise shipping date. <br /> Prepay all shipping charges. Add agreed upon charges to invoice as 5. Invoice at time of shipment. <br /> separate line item. No collect shipments will be accepted. Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene, <br /> Deduct all excise and sales taxes. Municipalities are exempt. Federal Oregon 97440-3310. Show to which City Department shipped. <br /> Exemption Certificate #93-730106K, copies of which are available from 6. Federal Tax ID #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />