New Search
' ORp~R FOR SUPPLIES OR SERVICES Ace of PAGES <br /> MF 'F NT: r 1 k r w 1 4 <br /> ,1. DATE OF ORDER 2, CONTRACT NO. (!f any) 6. SHIP TO: Marlys M. Craig <br /> 07/19/2002 a. NAME OF CONSIGNEE <br /> 3. r'?DER NO, 4. REQUISITION/REFERENCE NO. BLM EUGENE DISTRICT OFFICE <br /> :-IEP020052 b. STREET ADDRESS . <br /> 5. ISSUING OFFICE (Address corrsspcndence to) 2890 CHAD DR <br /> PQ BQX iQ226 <br /> BLM EUGENE DISTRICT OFFICE <br /> 2890 CHAD DR <br /> PO BOX 1U726 c. CITY ~ d. STATE e, ZIP CODE <br /> EUGENE ~ OR s7440-2226 EUGENE OR s74ao-222s <br /> 7. TO: .SHIP VIA <br /> a. NAME OF CONTRACTQR ' N!A <br /> 8. TYPE OF ORDER <br /> b. COMPANY NAME ~ a. PURCHASE <br /> GITYpFEUGENE REFER1:3dCEY0UR: - b.DELR/ERY-EzceptforbilGng <br /> c. STREET ADDRESS instructions on the reverse, this <br /> $58 PEARL STREET deGvely order is subject to <br /> Instructions oontsined on this side <br /> Please Nmish the folloWing- on the !elms and only of this form and is issued <br /> conditions spedfled on both sides of this order and subject to the terms and Cbndiians <br /> ' d..CITY e. STATE f. ZIP CODE on dte artsched sheet, If arty, Inducting detlVery as of the abavrnumbcxed conlraa. <br /> EUGENE OR 97401 ~cated. <br /> 9. ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE <br /> 2002 - - - ORO90 - - 2522- -2822PH - - - 9990 - - - - - - <br /> • Pit ~ohnstort, 541-b83-618i, WesC Eugene Wetl~n.d <br /> 11. BUSINESS CLASSIFICATION (Check applopria(e box(as}) <br /> <br /> ' ? s. SMAII ~ b. OTHERTHAN SMALL ? c. DISADVANTAGED ? d. WOMEN-OWNED <br /> 12. F.O.B. PAINT 14. GOVERNMENT B!L NO. 15. DELIVER TO F.O.B, POINT 16, DISCOUNT TERMS <br /> Destination OIV OR BEFORE (Data} <br /> 13. PLACE OF WA 10 days <br /> 20 days <br /> a. INSPECTION b. ACCEPTANCE 09/30 02 30 days <br /> I ~ ° <br /> O ST T O <br /> NAT/ N DE INA [ <br /> N <br /> . days <br /> 17. SCHEDUI-E See reverse fog Re actions <br /> QUANTITY UNIT QUANTITY <br /> ITEM NO, SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED <br /> (aj (b) (c) {d} (e) {f) (q) <br /> SEE LINE ITEM DETAIL <br /> ' 18. SHIPPINGy POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE O, <br /> SEE Bl11JNG 21. MAIL INVQIGE TQ:Marlys M. Craig ~ 17(h ~CO~. <br /> INSTRUCTIONS a. NAME A~esJ <br /> ON BLJvI EUGENE DISTRICT OFFICE <br /> REVERSE <br /> . b. STREET ADDRESS (orP.O. Box) - . <br /> 17~ <br /> 2890 CHAD DR,PO BOX 1D22t3 - ~ $23,860.00 GRANo <br /> c. CITY d. STATE e. ZIP CODE TOTAL <br /> _ EUGENE OR 97440-2226 <br /> NI'YED STA'T'ES OF ? 23. NAME . (]'yped} <br /> ` AMERICA t3Y (Signature) ~ <br /> Msnys M. Craig <br /> TITLE: CONTRACTINGlORDERINL~ OFFICER <br /> NSN 7550-bi-152-8oS3 OP7fONAl FORM 34T (REV. n/95) <br /> PreNous eGlllon no! usable Prescribed by G3NIFAR qH CFR 53273(e) <br /> _ <br /> <br />