Central Services <br /> Finance/Purchasing <br /> 100 West 10th Avenue, Suite 400 <br /> Purchase Order Date Revision Page Eugene, Oregon 97401 <br /> COE-2005100359 04/01/2005 1 (541) 682-5055 <br /> Payment Terms Freight Terms Ship Via (541) 682-6233 Fax <br /> N30 Destination COMMON <br /> Bu er : PW Admin-Svcs <br /> • • <br /> VENDOR: SHIP TO: <br /> ADVANCED MARKETING RESEARCH INC City of Eugene Public Works <br /> ATTN BARBARA TULL Administration Division <br /> PO BOX 5244 858 Pearl Street 4th Floor <br /> EUGENE OR 97405 Eugene OR 97401 <br /> United States United States <br /> Fax: 345-6600 <br /> Lne# Description Oty. /Unit Unit Price Total <br /> 1-1 GJN3900 SC Park Survey 12,500.00 EA 1.00 12,500.00 <br /> Survey work via telephone interviews. Contractor will <br /> design questionaire instrument, review pre and Post <br /> Test drafts with COE prior to carrying out final <br /> survey. <br /> Contract #2005-05321 <br /> Project Manager: Robin Hostick x4915, POS <br /> Do not mail PO, send to Debbie Clark x5728, PWA <br /> TOTAL: <br /> Contract Number: 2005-05321 <br /> Price Agreement: 12,500.00 <br /> INSTRUCTIONS TO VENDOR <br /> i. 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 /> AUTHORIZED BY ~ <br /> <br /> Form PO-1 Rav.0103 PURCHASING MANAGER <br /> <br />