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,:: <br />Parchase Order Date Revision Page <br />sCOE-2004100499 05/03/2004 1 - 07/09/2004 2 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />Bu er : Tamara Bronson <br />Date Needed: 05/03/2004 <br />VENDOR: <br />Line# <br />NORTH COAST ELECTRIC COMPANY 1NC <br />PO BOX 1148 <br />EUGENE OR 97440 <br />United States <br />Fax: 541-343-7708 <br />CHANGE ORDER <br />Description <br />3-1 Photocells 105-130 Volt Sofid State Design <br />41 Street Light Arms for Wood Utility Pole 8 Ft. <br />Contract Number: N <br />Phrioe Agreement: <br />INSTRUCTIONS TO VENDOR <br />1. Show this purchase order number on all invoices, packages, and <br />related correspondence. <br />2. Prepay all shipping charges. Add agreed upon charges to invoice as <br />separate line item. No collect shipments will be accepted. <br />3. Deduct ail excise and sales taxes. Municipalities are exempt. Federal <br />Exemption Certificate #93-730106K, copies of which are available from <br />SHIP TO: <br />Central Services <br />• • <br />City of Eugene Public Works <br />Administration Division <br />858 Pearl Street 4th Floor <br />Eugene OR 97401 <br />United States <br />Qty. /Unit <br />28.00 EA <br />12.00 EA <br />Unit Price Total <br />6.60 184.80 <br />69.15 829.80 <br />TOTAL: <br />3,520.18 <br />the City Purchasing Manager. <br />4. Acknowledge this order immediately and advise shipping date. <br />5, Invoice at time of shipment. <br />Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene <br />Oregon 97440-3310. Show to which City Department shipped. <br />6. Federal Tax ID #93-6002160 <br />- Finance/Purchasing <br />100 West 10th Avenue, Suite 400 <br />Eugene, Oregon 97401 <br />(541)682-5055 <br />(541) 682-6233 Fax <br />Form PO-2 Rev. 0103 <br />