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Central Services <br /> Finance/Purchasing <br /> Purchase Order Date Revision Page 100 West 10th Avenue, Suite aoo <br /> COE-2004100562 06/03/2004 1 -11/30/2004 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> N30 Destination COMMON (541) 682-6233 Fax <br /> Bu er: PW Admin-Svcs <br /> Date Needed: 06/03/2004 <br /> • • <br /> VENDOR: SHIP TO: <br /> KCM INC See Detail Below <br /> 1917 FIRST AVENUE <br /> SEATTLE WA 98101 <br /> United States <br /> Fax: 206-443-5372 <br /> CHANGE ORDER <br /> Lir~e# Description Qty. /Unit Unit Price Total <br /> 1-1 GJN4003 Permitting Supprt 28,759.00 EA 1.00 28,759.00 <br /> Delta Ponds Permitting Support <br /> PA# 0739-791-9971 #25 <br /> Project Manager; Kevin Finney x6018, PWE <br /> Do not mail PO, send to Debbie Clark x5728 PWA <br /> Ship To: <br /> City of Eugene Public Works <br /> Administration Division <br /> 858 Pearl Street 4th Floor <br /> Eugene OR 97401 <br /> United States <br /> 2-1 Change Order 1 2,304.00 EA 1.00 2,304.00 <br /> Ship To: <br /> City of Eugene <br /> Purchasing Office <br /> 100 West 10th Avenue, Suite 400 <br /> Eugene OR 97401 _ _ <br /> United States i - - ' <br /> C ntract Number: TOTAL' <br /> P ice Agreement: 0739-791-9971#25 ~ 31,063.00 <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 /> x. 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 /> 31. 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 />