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ORp~R FOR SUPPLIES OR SERVICES AoE of PAGES <br /> M~ T NT: r I k r w 1 4 <br /> 1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO: Marlys M. Craig <br /> 07/19/2002 a. NAME OF CONSIGNEE <br /> 3,-"`?DER NO, 4. REQUISITION/REFERENCE NO. BLM EUGENE DISTRICT OFFICE <br /> . ;4EP020052 b, STREET ADDRESS <br /> 5. ISSUING OFFICE (Address correspondence fo) 2890 CHAD DR <br /> Pp BOx 10226 <br /> BLM EUGENE DISTRICT OFFICE <br /> 2890 CHAD DR <br /> PO BOX 10726 0. CITY d. STATE e, ZIP CODE <br /> EUGENE OR 97440-2226 EUGENE OR 97440-2226 <br /> 7. TO: f. SHIP VIA <br /> a. NAME QF CONTRAGTQR NIA <br /> S. TYPE OF ORDER <br /> ~ b. COMPANY NAME <br /> a. PURCHASE <br /> CITY pF EUGENE REFERENCE YOUR: b. DELIVERY -Except for billing <br /> c. STREET ADDRESS instructions on tha reverse, this <br /> $5t3 PEARL STREET delivery order is subject to <br /> Instructions oontsined on this side <br /> Please furhish the folloWing on the tefms and only of this form and is issued <br /> conditions spedfled on both sides of Ihls order and subject to the terms and conditions <br /> d. CITY e. STATE f_ ZIP CODE on the attsched sheet, if any, Including dellVery as of tho abovenumbercd mntracL <br /> EUGENE OR 97407 indicated. <br /> 9. ACCOUNTING AND APPROPRIATION C7ATA 10. REQUISITIONING OFFICE <br /> 20D2- - -OR090- -2522- -2822PH- - -9990- - - - - - <br /> Pat Johnston, 541-683-6181, West Eugene Wetlands <br /> 11. BUSINESS CLASSIFICATION (Check appropriate box(es)) <br /> ? s. SMALL Q b- OTHER THAN SMALL ? c. DISADVANTAGED ? d. WOMEN-OWNED <br /> <br /> i <br /> 12. F.O.B. PQINT 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 /> 20 days <br /> a. INSPECTION b. ACCEPTANCE 30 days <br /> C 1NAT10N DESTINATION 09/3002 days <br /> 17. SCHEDULE See reverse for Re actions <br /> QUANTITY UNIT QUANTITY <br /> ITEM NO. SUPPLIES OR SERVICE5 ORDERED UNIT PRICE AMOUNT ACCEPTED <br /> (a) (b) (c) (d) (e) (f) fig) <br /> SEE LINE ITEM DETAIL <br /> 18, SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE O. <br /> 21. MAIL INVOICE TO:Marl s M. Crai 17(h) TOT. <br /> SEE BILLING y 9 (Cunt <br /> INSTRUCTIONS a. NAME pa9esl <br /> ON BLM EUGENE DISTRICT OFFICE <br /> REVERSE <br /> . b. STREET ADDRESS (orP.O. Box) <br /> 21390 GRAD DR,PO BOX 1022G 17(r) <br /> c, CITY d; STATE e. ZIP CODE $23,860.00 TOTAL <br /> _ EUGENE OR 974-40-2226 <br /> VI'CED STA7f~S OF ~ r 23. NAME (]"y~ed) <br /> AMERICA BY (Signature) Marlys M. Craig <br /> TITLE; ppNTRACTING/ORDERING OFFICER <br /> NSN 7540-U1-152BU83 OPTIONAL FORM 347 (REV. 8/55) <br /> Previous edlrion no! u;sble Prescribed by GSAfFAR AB CFR 53 ~73(e) <br /> <br />