~t~pER FOR SUPPB..I~S OR SERVICES AGE qF PAGES <br /> ~ _ 1 4 <br /> IMP • M rk n wi n ra / r _ <br /> 1. DATE OF ORD>=R 2 CONTRACT NO. (If anyJ 6, SHIP TO; Marlys M. Craig <br /> 09/28/2002 a, NAME OF CONSIGNEE <br /> 3. OROER NO_ 4. FEQUISITIONlREFEf.ENClr NO. BEM EUGENE DISTRICT OFFICE <br /> 'iEPOZ007Z b. STREET ADDRESS <br /> 5. , . DING OFFICE (Address correspondence (d) 2890 CHAD DR <br /> I PO BOX 10226 <br /> BLM EUGENE DISTRICT OFFICE <br /> 2890 CHAD DR <br /> PO BOX 10226 c, CITY d. STATE e, 21P CODE <br /> I <br /> EUGENE OR 97440-2226 EUGENE OR 97440-2226 <br /> 7. 70: t. SHIP VIA <br /> N!A <br /> a. NAME OF CONTRACTOR . <br /> ' 8. TYPE OF ORDER <br /> b, COMPANY NAME x~ a. PURCHASE <br /> CITY OF EUGENE REFERENCE YOUR b. DEt.IYERY -Except for billing <br /> o. STREET ADDRESS Instructions an tho reverse, Lhls <br /> 8S8 PEARL STREET R@OUISITION # HER0210S4 delivery order Is subject to <br /> instructions cgntsined on this side <br /> Please fumistt the #ollowing on the terms and only of flue form and is issued <br /> conditions specified on both sides of this order and subject tb the terms and conditions <br /> d. CITY e. STATE f. ZI P CODE on tl'ie attached sheet, if any, including delivery as of the above-numbered contract, <br /> ~ )^IJGENE OR g740~ ind®tEd. <br /> 9. ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE <br /> <br /> ~ 2002 - - • ORO~J4 - 25x.2 - ~ 6333PA - - - - - - - - - <br /> <br /> I _ Pat Johnston, 541-683 6;181_, WEW <br /> 11,_BUSINESS CIASSIFLCATIQN - -(Check appmprla(s tiox(es)) - _ _ <br /> <br /> ~ a, SMAt-L L] A: OTHER THAN SMALL ~ c. DISADVANTAGED ? d. WOMEN-OWNED. <br /> <br /> j d- 16. DISCOUNT TERMS.. <br /> <br /> ~ 12. F:Oa3. POINT - - 1 GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT <br /> <br /> ~ Destination ~ ON OR BEFOl;E (Date) 10 days <br /> 13. PLACE OF._ N/A <br /> _ 20 days fO <br /> a. INSPECTION b. ACCEPTANCE 30 da s ° <br /> DESTINATION pESTINATION - 09/30/03 Y <br /> days °l° <br /> _ <br /> _ . _ . ~ 17. SCHEDULE See rev2Yse for Re ec#ions <br /> QUANTITY UNIT QUANTITY <br /> ITEM NO'. . SUPPLIES:OR.SERVICES' ORDERED UNIT PRICE . _ AMOUNT ACCEPTED <br /> SEE LINE ITEM 15ETAIL <br /> *Attachment ~~1 ~s made apart of this o der ' <br /> 18. SHIPPING POINT 19, GROSS SHIPPING WEIGHT 20. INVOICI= O. <br /> 21. MAIL INVOICE TO:Malys M. CI'di9 17(hj TOT. <br /> SEE' BILLING (Goof. <br /> INSTRUCTIONS a. NAME vagcs) <br /> ON BLM EUGENE DISTRICT OFFICE <br /> REVERSE ' <br /> b. STREET ADDRESS (orP.O. Box) <br /> 2890 CHAD OR,PO BOX 10226 77Q) <br /> $12,000.00 GRAND <br /> c. CITY d. STATE Q_ ZIP CODE TOTAL <br /> EUGENE OR 97440-2226 <br /> 22. UNITED STATES OF 23. NAME (Typed) <br /> `!IERICA BY. (Signature) ~1/1j/ ~ ~ - _ Marlys M. Craig <br /> ~ v~ TfTLE: CONTRACTING/ORDERING OFFICER <br /> NSN 7540-Ot-762-5os3 OPTIONAL FORM 347 (REV. 6195) <br /> PfBV1oU5 sdlr~an noL ussbl2 Prescribed by GSAlFAR.48 GFR 63.273(e) <br /> <br />