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Central Services <br /> Purchase Order Date Revision Page Finance/Purchasing <br /> 100 West 10th Avenue, Suite 400 <br /> COE-2005100395 04/16/2005 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: 04/16/2005 <br /> • ~ ' ' ~ • <br /> VENDOR: SHIP TO: <br /> KCM INC City of Eugene Public Works <br /> 1917 FIRST AVENUE Administration Division <br /> SEATTLE WA 98101 858 Pearl Street 4th Floor <br /> United States Eugene OR 97401 <br /> United States <br /> Fax: 206-443-5372 <br /> l.ine# Description Qty. /Unit Unit Price Total <br /> ***Do not mail to vendor. Please send original PO and <br /> dept copy to Debbie Clark at PWA.*** <br /> ***This PO replaces PO 2004100562. KCY 4-16-05*** <br /> CO #3 per Amendment #3: Increased contract amount by <br /> $11,368. Original PO total to be at $42,431.00; this <br /> new PO total to be at $11,577.40. KCY 4-16-05 <br /> 1-1; Change Orders - GJN4003 Permitting Supprt 209.40 $ 1.00 209.40 <br /> 3-1 New Change Orders - GJN4003 Permitting Supprt 11,368.00 $ 1.00 11,368.00 <br /> Contrast Number: TOTAL: <br /> Price Agreement: 0739-791-9971#25 11,577.40 <br /> INSTRUCTIONS TO VENDOR <br /> t. Show this purchase order number on all irnoices, 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, cxapies of which are available from 6. Federal Tax ID #93-6002160 <br /> <br /> Form PO-2 Rev. 0103 <br /> <br />