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Central Services <br /> Purchase Order Date Revision Page Finance/Purchasing <br /> COE-200410078 11!17/2003 1 100 West 10th Avenue, Suite 400 <br /> Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> NOW Destination COMMON (541) 682-6233 Fax <br /> er: PW Admin-Svcs <br /> Date Needed: 11/17/2003 <br /> • • <br /> VENDOR: SHIP TO: <br /> LANE COUNCIL OF GOVERNMENTS City of Eugene Public Works <br /> 99 EAST BROADWAY STE 400 Administration Division <br /> EUGENE OR 97401-3111 858 Pearl Street 4th Floor <br /> United States Eugene OR 97401 <br /> United States <br /> L~ne# Description Qty. /Unit Unit Price Total <br /> 1-1 GJN4151 Grant Writing 4,200.00 EA 1.00 4,200.00 <br /> Contract covers services to write, assemble and submit <br /> a grant application to the Oregon State Parks Land <br /> Water and Conservation Fund in support of the Alton <br /> Baker Park regional playground project. (A part of the <br /> RiverPlay Project.) <br /> Contract #2004-05321 <br /> Project Manager: Robin Hostick x4915, POS <br /> Do not mail PO send to Debbie Clark x5728, PWA <br /> 11-i8-03P01~16 RCVD <br /> contract Number: 2004-05321 TOTAL' <br /> I~rice Agreement: ~ 4,200.00 <br /> INSTRUCTIONS TO VENDOR <br /> i. 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 ail 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 B. Federal Tax ID #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />