New Search
09/25/03 THU 12:16 FA% 1 541 683 6767 EUG BLM PROCtTREMENT-IRM C~jjoo2 <br /> AGE OF PAGES <br /> ORDER FOR S~r'PLIES OR SERVICES <br /> IMP - k wl h n <br /> 1. DATE OF ORDER 2. CONTRACT NO. (if any) 6_ SL ilP TO: Maiiyys•9td_ Cra3g~•: <br /> II <br /> <br /> ! 09!2412003 a_ NAME OF CONSIGNEE <br /> 3. -R N0. 4. REgUISITION/REFERENCE N0. BLM EUGENE DISTRICT OFFICE <br /> 4; <br /> ?P030d74 b. STREET ADDRESS <br /> 5. ISSUING OFFICE (Address correspondence to) 2890 CHAD DR <br /> PO BOx 10226 <br /> 8LM EUGENE DISTRICT OFFICE <br /> 2890 CHAD DR d. STATE e. ZIP CODE <br /> PO BOX 10226 c. CITY <br /> EUGENE OR 97440-2226 <br /> EUGENE OR 974dq-2226 <br /> 7. Tqt f. SHIP VIA <br /> a. NAME OF CONTRACTOR NIA <br /> t3. 'TYPE OF ORDER <br /> b. COMPANY NAME ?X a. PURCHASE <br /> CITY OF EUGENE REFERENCE YDUR• b. DELIV<=RY - Except for billing <br /> • instructions on the reverse, this <br /> c. STREET ADDRESS delNery order is subject to <br /> 858 pFJ?RL STREET ins4vctians wntained on this side <br /> Please famish the (olloWing on the terms. and only of this corm and Is issued <br /> conditions spectfled on both sides of this order and subject to the {arms and tbndilions <br /> d. CITY 9. STATE f. ZIP CODE on the attached sheet, if any, including delivery as of the shave-nurnhered contract. <br /> EUGENE OR 97401 indicated. <br /> 9. ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE <br /> 2003- - -OR095- .zs2z- -za23JM- - -MF40- - - - - - pat .Toh•nston, 541-520-2159 <br /> 11. BUSINESS CLASSIFICATION (Check appropriate box(es)) <br /> ? a. SMALL ©b. OTHER THAN SMALL L] c. DISADVANTAGED ~ d. WOMEN-OWNED <br /> 12. F.O.B. POINT i4. GOVERNMENT B1L NO. 15. DELIVER TO F.O.B. POINT 18. DISCOUNT TERMS <br /> Desl;natlon ON OR BEFORI= (Date) 10 days <br /> 13. PLACE OF N/A 12/31/2003 2b days <br /> a. INGPECTION b. ACCEPTANCE 30 days <br /> DE `1ATION DESTINATION days °/6 <br /> 17. SCHEDULE See reverse forl7e'eaBons <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 pETAIL <br /> *Attachmen.t 1 is made apart of this or Y <br /> 18. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE O_ <br /> 17(h}TOT. <br /> SE•E BILLING 21. MAIL INVOICE TO:Malys M. Craig (Cont. <br /> INSTRUCT (ONS a. NAME pages) <br /> ON BLM EUGENE DISTRICT OFFICE <br /> REVERSB b. STREET ADDRESS (orP.O. Box) <br /> 2890 CHAD DR,PO BOX 10226 17{1) <br /> $4,812.00 GRAND <br /> c. CITY d. STATE e. ZIP CODE TOTAL. <br /> _ EUGENE OR 97A40-2226 <br /> 2'. ;ITEP STATES OF 23. NAME (Typed) <br /> aMERICA BY (Signature) ~ Marlys M. CraiS <br /> ~ / T(fLE: CONTRACTING/ORDERING OFFICER <br /> NSN?'540-01-152-8083 OPTIONAL FORM 347 (REV. 6195) <br /> Previous cdilion not ursble Pr~abed by GSA/FAR 49 GFR 53,213(¢) <br /> <br />