ORpER FOR SUPPL)ES OR SERVICES AGE of PAGES <br /> Ml= T NT• r I k r w ~ a <br /> ,1. DATE OF ORDER 2. CONTRACT NO. (It any) 6. SNIP TO: .Martyr M. Cral~ <br /> 07!19/2002 a. NAME OF CONSIGNEE <br /> 3., '"'DER NO. 4. REQUISITION/REFERENCE NO. BLM EUGENE DISTRICT OFFICE <br /> :iEPg20052 b. STREET ADDRESS <br /> 5. ISSUING OFFICE (Address corrESpondence fo) 2890 CHAD DR <br /> PO BOX 18226 <br /> BLM EUGENE DISTRICT OFFICE <br /> 2$90 CHAD DR <br /> PO BOX 10726 c. CITY d. STATE e. ZIP CODE <br /> EUGENE OR 97440-2226 EUGENE OR 97440-2226 <br /> r 7. TO: .SHIP VIA <br /> a. NAME OF CONTRACTOR N!A <br /> 8. TYPE OF ORDER <br /> b. COMPANY NAME ~ a. PURCHASE <br /> ' CITY QF EUGENE b. DEIJVERY-Exceptfor billing <br /> j c. STREET ADDRESS REt=ERENCE YOUR: <br /> ins6vctions on the reverse, this <br /> ' $58 PEARL S'CREET delivery order is subjedto <br /> ?nstn.tctlons Contained on this side <br /> Please Nmish the Following on the terms and only of this form and is issued <br /> conditions spedfled on both sides of this order and subject to the {arms and certdi{ions <br /> d..CITY e. STATE f. ZIP CODE on the artached sheet, If ar,y, Induding delivery as of tho abovanumbcrcd mntracL <br /> EUGEPlE OR 97409 indicated. <br /> 9. ACCOUNTING AND APPROPRIATION DATA 10. REQUl51T10NING OFFICE <br /> 2002 - - - OR090 - - 2522 - - 2822PH - - - 9990 - - - - - - <br /> Pat Johnston, 541-683-61Si, West Eugene Wetlands <br /> 11. BUSINESS CLASSIFICATION (Check appropria(e boY(esJ) <br /> ? s. St~1AlL b. OTHER THAN SMALL ? c. DISADVANTAGED ? d. WOMEN-OWNED <br /> <br /> i, 12. F.O.B. POINT 14. GOVERNMENT B!L NO. 15. DELIVER TO F.O.B. POINT 16. DISCOUNT TERMS <br /> Destination ON OR BEFORE (Date) <br /> 13. PLACE OF N/A 10 days <br /> a. INSPECTION b. ACCEPTANCE 20 days <br /> C (NATION DESTINATION 09/3002 30 days <br /> days <br /> 17. SCHEDULE See reverse far Re actions <br /> QUANTITY UNIT QUANTITY <br /> ITEM NO. SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED <br /> (a) (b) (c) (d) (e) (f) (9) <br /> SEE LINE ITEM DETAIL <br /> 18. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE O. <br /> 17(h) TOT. <br /> SEE BILLING 21. MAIL INVQICE TQ:Mariys M. Craig (Cons <br /> INSTRUCTIONS a. NAME A9gGS1 <br /> ON BLM EUGENE DISTRICT OFFICE <br /> REVERSE b. STREET ADDRESS (orP.O. Box) <br /> 2890 CHAD DR,PO BOX 1022q 17C) <br /> a. CITY d. STATE e. ZIP CODE $23,860.00 TOTAL <br /> _ EUGENE OR 97a4o-222a <br /> NITED STATES OF ~ ? 23. NAME . (7-yped) <br /> AMERICA BY (Signature) <br /> / ~ [ Marlys M. Craig <br /> TITLE; CONTRACTING/ORDERING OFF=ICER <br /> NSN 7540-01-152-8083 OP7tONAi FORM 347 (REV. 8195) <br /> Previous edition not uasble <br /> Prescribed by GSArFAR'18 CFR 53279(e) <br /> <br />