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Central Services <br /> Finance/Purchasing <br /> purchase Order Date Revision Page 100 West 10th Avenue, Suite aoo <br /> COE-2004100421 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 /> u er: PW Admin-Svcs <br /> Date Needed: 02/05/2004 <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 /> L~ne# Description Oty. /Unit Unit Price Total <br /> ***Please send both PO copies to Webb Sussman at <br /> PWM/POS.*** <br /> GJN 4151 <br /> Title: Grant Writing Services- RiverPlay LWCF Grant <br /> Contract #2004-05321 #3 <br /> Project Manager: Robin Hostick x4915, POS <br /> ' Vendor: Lane Council of Governments <br /> Comments added by Kevin Yin on 8-23-04: <br /> *Original PO (2004100278) for this contract was closed <br /> before the contract was completed. The total PO <br /> amount was $5600. Change order #3 created PO <br /> 2004100421 in the amount of $10,000. <br /> CO #4: Increased PO amount by $2000, making PO <br /> 2004100421 total to be $12,000 and the overall <br /> contract total at $17,600. Changed account code to <br /> 321-9335-61800-935262. KCY8-23-04. <br /> END <br /> CO #5: Increased PO amount by $3000, making PO <br /> 2004100421 total to be $15,000 and the overall <br /> contract total at $20,600. KCY 12-09-04. <br /> - ~ - <br /> CO #6: Increased PO amount by $10,000, making PO <br /> 2004100421 total to be $25,000 and the overall <br /> ontract Number: 2004-05321 TOTAL: <br /> rice Agreement: <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 /> Forrt1 PO-2 Rev. 0103 <br /> <br />