Central Services <br /> . ~ Finance/Purchasing <br /> Purchase Order Date Revision Page 100 West 10th Avenue, Suite aoo <br /> COL-2005100074 07/30/2004 1 - 08/05/2004 4 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: 07/30/2004 <br /> • • <br /> VENDOR: SHIP TO: <br /> SITELINES PARK & PLAYGROUND PRODUCTS See Detail Below <br /> GAMETIME <br /> PO BOX 25156 <br /> PORTLAND OR 97298 <br /> United States <br /> CHANGE ORDER <br /> Lir~e# Description Qty. /Unit Unit Price Total <br /> (3) 12584 Primetime Swing Add-A-Bay 3 1 2"od, yellow <br /> $464.00 <br /> (4) 8910 Belt Seat 3 1 2"od $159.OOea = $318.00 <br /> f <br /> Sub-total $1970.00 <br /> Discount ($354.60) <br /> Freight $354.67 <br /> Total $1970.07 <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 /> f <br /> ontract Number: TOTAL: <br /> rice Agreement: STATE PA #3228 26,537.87 <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 /> 3. Deduct afl excise and sales taxes, Muniapalities 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 /> Fam PO-2 Rev. 0103 <br /> <br />