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Purchase Order Date Revision Page <br />COE-2005100486 06/23/2005 1 <br />Pa+,t~ent Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />iuyer : PW Cap Proj-Transportation <br />ate Needed: 06/23/2005 <br />Lir>e# <br />t{ 1-1 <br />t =. <br />6 i <br />i' <br />i' <br />~21 <br />i. <br />VENDOR: <br />PARKFORMS <br />3707 NE COLUMBIA BLVD <br />PORTLAND OR 97211-2041 <br />Phone: 800-875-7529 <br />Fax: 503-288-7908 <br />Description <br />Per RFQ# 2005-200120 <br />Behches, Victor Stanley Model CS-138 <br /> <br />~~ :J^ <br />.~-., ,~ <br />wJ <br />-- ~_ U <br />6 ft length, center steel armrest, horizontal solid <br />Steel rod bench, powder coated, color black. Provide <br />yvith stainless steel anchor bolts #or mounting into <br />Concrete. <br />gash Receptacle, Victor Stanley Model RB -24 <br />~4 gallon capacity, :powder-coated, color black. <br />Include molded high density plastic liner, rubber <br />tipped leveling feet, and formed dome lid. with 10 inch <br />diameter stainless steel ashtray. Provide with <br />stainless steel anchor bolts for mounting into <br />concrete. <br />Deliver to: <br />210 Cheshire, Eugene OR 97402 <br />Notification required 48 hours prior to delivery. <br />_~ontact:_ _ <br />_.. _ - _ <br />harry Morris (541) 682-2742 or (541) 228-1059 <br />Contract Number: N <br />Pr~cd Agreement: <br />,`;~'' , <br />~~~ <br />y ~r <br />INSTRUCTIONS TO VENDOR <br />1. Show this purchase order number on all invoices, packages, and <br />related correspondence. <br />:. prepay all shipping charges. Add agreed upon charges to invoice as <br />~eparate line item. No collect shipments will be accepted. <br />3. educt all excise and sales taxes. Municipalities are exempt. Federal <br />exemption Certificate #93-730106K, copies of which are available from <br />TOTAL: <br />11,175.00 <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 />SHIP TO: <br />Central Services <br />Finance/Purchasing <br />100 West 10th Avenue, Suite 400 <br />Eugene, Oregon 97401 <br />(541)682-5055 <br />(541)682-6233 Fax <br />City of Eugene Public Works <br />Transportation Division <br />858 Pearl Street, 3rd Floor <br />Eugene OR 97401 <br />Qty. /Unit Unit Price Total <br />9.00 $ 1,150.00 10, 350.00 <br />1.00 $ 825.00 825.00 <br />~;~ <br />_ 1.,' ; <br />Form PO-2 Rev. 0103 <br />