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Purchase Order Date Revision Page <br />COE- 2009100180 10/24/2008 1 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />Buyer: PW Admin - Financial Svcs <br />Date Needed: 10/24/2008 <br />VENDOR: <br />PAVEMENT SERVICES, INC <br />541 NE 20TH SUITE 107 <br />PORTLAND OR 97232 <br />Phone: 503 - 235 -0377 <br />Fax: 503 - 235 -2885 <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 />SHIP TO: <br />City of Eugene Public Works <br />Administration Division <br />858 Pearl Street 4th Floor <br />Eugene OR 97401 <br />Department Copy - for internal use only. <br />Line# <br />Description <br />Qty. / Unit <br />Unit Price <br />Total <br />Send department copy to Debbie Clark. <br />1 -1 <br />GJN4546 Pvmt Test /Design <br />25 EA <br />1.00 <br />25 <br />To provide pavement testing and design for the Crest <br />Drive Neighborhood Street Imp project. Amount not to <br />EXCEED $25k. Final work to be completed by 3.1.09 <br />final report due to COE 12.08.09 <br />Contract #2009 -00220 <br />Project Manager: Jenifer Willer x5364, PWE <br />DO NOT MAIL PO TO VENDOR. SEND COPY TO DEBBIE CLARK <br />x5728, PWA <br />Contract Number: 2009 -00220 <br />Price Agreement: <br />INSTRUCTIONS TO VENDOR <br />1. Show this purchase order n'umb'er 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 all excise and sales taxes. Municipalities are exempt. Federal <br />Exemption' Certificate #93-730106K, copies of which are available from <br />TOTAL: 25,000.00 <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 />