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Central Services <br /> Finance/Purchasing <br /> Purchase Order Date Revision Page 100 West 10th Avenue, Suite 400 <br /> COE-2005100256 12/14/2004 1 Eugene, Oregon 97401 <br /> Payment Terms Freight Terms Ship Via (541) 682-5055 <br /> N30 Destination COMMON (541) 682-6233 Fax <br /> B er: PW Admin-Financial Svcs <br /> Date Needed: 12/14/2004 <br /> • ~ - ' ~ • <br /> VENDOR: SHIP TO: <br /> COYOTE CREEK ENVIRONMENTAL SERVICES City of Eugene Public Works <br /> 27661 CROW ROAD Administration Division <br /> EUGENE OR 97402 858 Pearl Street 4th Floor <br /> United States Eugene OR 97401 <br /> United States <br /> Fax: 541-484-1233 <br /> Lir~e#j Description Qty. /Unit Unit Price Total <br /> 1t 1 ~JN3787 Prepare Permit Ap 4,970.00 EA 1.00 4,970.00 <br /> prepare enviromental permit application for 34th Ave <br /> prainage Storm Restoration <br /> I~ POOL Contract #2003-00233 #9 <br /> Project Manager: Seward Meintsma x5364, PWE <br /> Do not mail PO, send to Debbie Clark x5728, PWA <br /> i <br /> o~ttract Number: TOTAL: <br /> ride Agreement: POOL #2003-00233 #9 4,970.00 <br /> ,INSTRUCTIONS TO VENDOR <br /> Show this purchase order number on all invoices, packages, and the City Purchasing Manager. <br /> !elated correspondence. 4. Acknowledge This order immediately and advise shipping date. <br /> PrepAy al! 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 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 /> Farm PO-2 Rev. 0103 <br /> <br />