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08/07/00 MON 15:9 FAX 1 541 683 6767 EUG BLM PROCUREMENT -IRM <br />- - - -- - -- — lam.._.. �............__.. <br />�oa2 <br />NSN 7540 -01 - 152 - aM / / <br />Prodous edition not usabto v <br />Prawrlbed by GSA/FAR 411 CFR 53213(e) <br />vrw& r% rvt\ vvrr a.rcv %#M Wc.rw rvc.a <br />1 <br />2 <br />IMPORTANT: Mark all Paclicage i <br />and anigers with contract and/or order numbers. <br />1, DATE OF ORDER <br />2. CONTRACT NO. (If any) <br />6. SHIP TO: <br />e. NAME OF CONSIGNEE <br />No Shipping Information <br />06115/2000 <br />3. ORDER NO. <br />4. REQUISITION /REFERENCE NO. <br />HEP000025 <br />See Lines <br />b. STREET ADDRESS <br />5, ISSUING OFFICE (Address <br />ormspondence to) <br />BLM EUGENE DISTRICT OFF <br />CE <br />2890 CHAD DR,PO BOX 1022 <br />c. CITY <br />d. STATE <br />.ZIP CODE <br />EUGENE OR <br />9744(i - 2226 <br />7. TO: <br />f. SHIP VIA <br />N/A <br />a. NAME OF CONTRACTOR <br />S. TYPE OF ORDER <br />b. COMPANY NAME <br />a. PURCHASE <br />ED <br />CITY OF EUGENE <br />REFERENCE YOUR: <br />n[ InTp �fti mm ainn <br />In DELIVERY - he Ex r, t <br />Instruatlan r the su bject to se this <br />dcl(v�ry order is to <br />this <br />c. STREET ADDRESS <br />Asa PEARL STREET <br />Please furnish the followin on.Uw terms and <br />aired on side <br />instructions form con t ained <br />only of this form and Is iss <br />conditions specified an both sides of this order and <br />on the attached sheet, If any, Including delivery as <br />mdi °tad• <br />ans <br />subj to the terms and cond <br />sub traL <br />of the above -numbered r�ntract <br />d. CITY <br />STATE <br />f. ZIP CODE <br />EUGENE <br />r OR <br />97401 <br />9, ACCOUNTING AND APPROPRIATION <br />DATA <br />10. <br />2000- - -09094- - 25?Z - • 11 <br />MN . . . . . . . . - <br />Pat Johnston Wetlands Project Max►a er <br />11. BUSINESS CLASSIFICATION <br />(Check appropriate bor(es)) <br />El a. SMALL <br />b. OTHER THAN SMALL c. DISADVANTAGED [ ] d, WOMEN -OWNED <br />12. F.O.B. POINT <br />1A. GOVERNMENT B/L NO, <br />15. DELIVER TO F.O.B. POINT <br />16. DISCOUNT TERMS <br />Destination <br />NIA <br />ON OR BEFORE (pate) <br />06/15/00 — 09/30/00 <br />10 days % <br />20 days % <br />30 days % <br />13. PLACE 0 <br />a. INSPECTION <br />b. ACCEPTANCE <br />DESTINATION <br />DESTINATION <br />_. <br />days % <br />17. SCHEDULE (See reverse for Rejections) <br />UA <br />QUWITY <br />ITEM NO. <br />SUPPLIES OR SERVICES <br />ORDERED <br />UNIT <br />PRICE <br />AMOUNT <br />ACCEPTED <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(fl <br />(9) <br />SEE LINE <br />ITEM DETAIL <br />*ATTACHMENT <br />1 IS MADE PART OF THIS ORDER <br />18. SHIPPIN <br />POINT <br />19. GROSS SHIPPING WEIGHT <br />20. INVOICE 0. <br />17(h) TOT_ <br />21. MAIL INVOICE TO :Marlys M. Craig <br />Cont. <br />SEE BILLING <br />pages) <br />a, NAME <br />INSTRUCTIONS <br />ON <br />REVERSE <br />BLM EUGEN <br />DISTRICT OFFICE <br />b. STREET <br />DRESS (or P.O. Bar) <br />2890 CHAD <br />�R,PO BOX 10226 <br />$10,000.00 <br />17(I) <br />c. CITY <br />d. STATE . e. <br />ZIP CODE <br />TOTAL <br />EUGENE <br />OR <br />97440 -2226 <br />22. UNITED STATES OF <br />23. <br />NAME (Typed) <br />AMERICA BY (signature) <br />Marlys M. Craig <br />TITLE: CONTRACTING /ORDERING OFFICER <br />NSN 7540 -01 - 152 - aM / / <br />Prodous edition not usabto v <br />Prawrlbed by GSA/FAR 411 CFR 53213(e) <br />