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Central Services ,~`l <br /> Purchase Order Date Revision Page Finance/Purchasing <br /> COE-2004100111 08/21/2003 1 100 West 10th Avenue, Suite 400 <br /> Pa ment Terms Frei ht Terms Shi Via Eugene, Oregon 97401 <br /> y 9 P (541)682-5055 <br /> N 0 Destination COMMON (541) 682-6233 Fax <br /> BU er : PW Admin-Svcs <br /> i3te Needed: 08/21/2003 <br /> • • <br /> VENDOR: SHIP TO: <br /> ROSENBERG, MARVIN & LILLI City of Eugene Public Works <br /> 4001 LITTLE APPLEGATE RD Administration Division <br /> JACKSONVILLE OR 97530 858 Pearl Street 4th Floor <br /> United States Eugene OR 97401 <br /> United States <br /> Fax: 541-899-7861 <br /> 08-25-03A06~32 RCVD <br /> Li e# Description Qty. /Unit Unit Price Total <br /> GJN 4028 <br /> Title: Public Art for Oakmont Park <br /> Contract #2004-00211 <br /> Project Manager: Emily Proudfoot x6019, PWE <br /> Vendor: Marvin & Lilli Ann K. Rosenberg <br /> DO NOT MAIL PO, ROUTE TO PEGGY HAMLIN AT PWA <br /> 1-1 GJN4028 Public Art Oakmont Park 5,000.00 EA 1.00 5,000.00 <br /> Design, Construct and deliver approximately 20 <br /> ~ concrete mosaic forms with a theme of trees, flowers, <br /> birds, bugs etc for Oakmont Park. <br /> Contract #2004-00211 <br /> Project Manager: Emily Proudfoot x6019, PWE <br /> Do not mail PO, send to Debbie Clark x5728, PWA <br /> C ~ ntract Number: 2004-00211 <br /> PrceAgreement: 08-25-03A07 ~51 RCVD TOTAL' 5,000.00 <br /> I STRUCTIONS 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 />