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Central Services ' <br /> Purchase Order Date Revision Page Finance/Purchasing <br /> 100 West 10th Avenue, Suite 400 <br /> COE-2 4100421 03/08/2004 1 - 08/23/2004 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> Now Destination COMMON (541) 682-6233 Fax <br /> 8u er : PW Admin-Svcs <br /> Date Needed: 03/08/2004 <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 /> line# Description Qty. /Unit Unit Price Total <br /> 1-1 GJN4151 Grant Writing 10,000.00 EA 1.00 10,000.00 <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.) Amendment #3 extends date to 6 15 <br /> 04 and add $10k for services <br /> Contract #2004-05321 #3 <br /> Project Manager: Robin Hostick x4915, POS <br /> Do not mail PO send to Debbie Clark x5728, PWA <br /> 2-1 Change Orders - GJN4151 Grant Writing 2,000.00 $ 1.00 2,000.00 <br /> - ~ <br /> 08_~~- P i _ <br /> Contract Number: 2004-05321 TOTAL' <br /> Price Agreement: ~ 12,000.00 <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 />