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Central Services "1 ~ <br /> Finance/Purchasing <br /> Purchase Order Date Revision Page 10o West loth Avenue, Suite 400 <br /> COE-2004100278 11/17/2003 2 - 01/26/2004 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> Now Destination COMMON (541) 682-6233 Fax <br /> eu 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 /> CHANGE ORDER <br /> Li?1e# Description Qty. /Unit Unit Price Total <br /> CO#1, increase contrract amount by $400.00, new <br /> contract total $4600.00; 12/5103, me <br /> CO#2, increase contrract amount by $1,000.00, new <br /> contract total $5,600.00; 1/26/04, Ijl. <br /> Do not send PO to vendor. Please send to Debbie <br /> Clark, PWA. <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 /> CO#1, increase contrract amount by $400.00, new <br /> contract total $4600.00; 12/5/03, me <br /> Do not send PO to vendor. Please send to Debbie <br /> Contract Number: 2004-05321 TOTAL: <br /> Brice Agreement: <br /> fNSTRUCTIONS 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 alt 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 #9~6pQ2~ig0 ~ ~ U ~ : ? I I, <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />