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' ORpER I~OR SUPPLIES OR SERVICES ~ AGt: OF PaOSs <br /> Mp Y NT• I 1 a <br /> ,1. DATE OF ORDER . CONTRACY NO. (Ifany) 6. SNIP To: Ma M. Craig <br /> • o7/19V2oo2 NAME OF CONSIGNEE <br /> 3S r`?DER NO. 4. REQUISITION/RE.FERENCE NO. BLM EUGENE DISTRICT OFFICE ` <br /> iEP020052 .STREET ADDRESS <br /> 5. ISSUING OFFICE (Address correspOrrderrce to) 2890 CHAD DR ' <br /> P4 BOX 10226 <br /> BLM EUGENE DISTRICT OFFICE • <br /> 2890 CHAD DR ~ • <br /> PO BOX 10226 GTY ~ d. STATE e. ZIP CODE ' <br /> EUGENE OR 87440-2226 EUGENE OR 9744Q-2226 <br /> • 7. TO; .SHIP VIA <br /> a NAME OF CANTRAGTOR • WA <br /> e. TYPE OF ORDER <br /> b. COMPANY NAME ~ a. PURCHASE <br /> GITYOREUGENE REFERENCEYOUF~ D.DB.JNERY-E~o~eptlbrbt8np <br /> c. STREET ADDRESS ~""g0"a • ~ <br /> 858 PEARL STREET .°"~I"~~1o <br /> lnstrudtons ooldak+ed cn thb slde <br /> Pkase ArMsh Ihs on Yle laths aAd onh/ d ~ form and h issued <br /> eo~i6oraa~ <br /> s~~ sides of 1Ns orb and ~bJa~ b Ih. iam~a and ee~t'ieas <br /> ' d, W'(}r e4 STATE f. ZIP CODE onk,dk <br /> td slxef, >f any. k~dl~ delNery as of Iho abovanumbcrcd contract. <br /> EUGENE OR 97401 <br /> 9. ACCOUNTING AND APPROPRIATIO BATA 0. REQUI5ITIONINQ OFFCCE . <br /> ?AD2 - _ -OR090 - _ _?g2~}+I{ ~ ~ ~ 99D0 • _ - - <br /> • Pat Johnston, 541-683-6181, West Eugene Wetland <br /> 1 BUSINESS c~ASSIFICATION (check apprvprlato bor(es)) • <br /> a. SNtAI.I. ~ h C7}IBiTHAN SW+LL ? t DISADVANTAGED ? d WOMFIJ-0WNED <br /> 12. F.09. POINT 14. GOVERNMENT B1L NO. • 1S. DELVER TO F.O.B. POINT 16. DISCOUNTTERMS <br /> Desgna6on OIV OR BEFORE (Dale) <br /> 13. PLACE OF N/A 10 days 96 <br /> 2A days 96 <br /> a. INSPECTION b. ACCEPTANCE 09/30 02 ~ days 9G• <br /> S ~NAT10N DESTINATION ~ days yo <br /> SGFIEDULE See reverse for Re Dons <br /> • QUANTTT7 UNIT QUANTITY <br /> ITEM NO. SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED <br /> ta) tb) t~) {e) to l9) <br /> SF.E LINE REM DETAIL <br /> 18. SHIPPING POINT 19. CROSS SHIPPING WEIGHT' Z0. INVOICE O. • <br /> t7th) TbT. <br /> SEE BILUNC3 21. MAIL INVQI(S= TO:Mariys M. Craig l~ <br /> INSTRUCTION a. NAME OsvetJ <br /> ON BLM EUGENE DISTRICT OFFICE <br /> REVERSE b. STREETADDRESS (orP.O: Box) . <br /> 2890 CHAD DR,PO BOX 1022Q ~ ~ 1T() <br /> c, q'I'Y d. STATE e. ZIP CODE i?3~860.00 TOTAL <br /> EUGENE OR 97440-2226 <br /> ytTED STAPES OP t 23. NAME . (TYPedJ <br /> .WIERICA ICY (Signature) MaAy3 M. Craifl <br /> TTR ' 0 CTIN RDERINl3 O FICER <br /> NSN 7540-01-152-8083 pplyONgt, FORM S4T (REV. 8195) <br /> <br /> PraNwa sdNon tai usable ?feearibcd by G3NFM AS CrR 33277(el <br /> <br />