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Central Services <br /> Finance/Purchasing <br /> Purchase Order Date Revision Page 100 West loth Avenue, Suite aoo <br /> CODE-2004100272 11/17/2003 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> N3Q Destination COMMON (541) 682-6233 Fax <br /> <br /> ~,,g, u er : PW Admin-Svcs <br /> Uake Needed: 11/17/2003 <br /> • • <br /> VENDOR: SHIP TO: <br /> WESTERN ASPHALT MAINTENANCE INC City of Eugene Public Works <br /> PO BOX 337 Administration Division <br /> THURSTON OR 97482 858 Pearl Street 4th Floor <br /> United States Eugene OR 97401 <br /> United States <br /> Fax: 541-726-4093 <br /> Li e# Description Qty. /Unit Unit Price Total <br /> ~ 1-1 GJN3867 Paving Repair 2,800.00 EA 1.00 2,800.00 <br /> Paving repair patch job on a path on the summit of <br /> Skinner Butte <br /> Project Manager: Robin Hostick x4915, POS <br /> i <br /> Do not mail P O send copy to Debbie Clark x5728, PWA <br /> 11 - <br /> -18 03P01:16 RCVD <br /> ontract Number: TOTAL: <br /> rice Agreement: 2,800.00 <br /> i', <br /> NSTRUCTIONS TO VENDOR <br /> .Show this purchase order number on all invoices, packages, and the City Purchasing Manager. <br /> u' 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. Federa! 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 /> Farm PO-2 Rev. 0103 <br /> <br />