New Search
11/22/00 WED 09:41 FAX 1 541 689 6767 <br />ORDER PO UPPLIES OR S <br />J MPO131ANT , • MaEk al a at a or <br />1- DATE OF ORDER 2- CONTRACT NO. (if any) <br />11/21/200 <br />3, ORDER NO. 4, REQUISITION /REFERENCE NO. <br />HEP010004 See Lines <br />S, ISSUING OFFICE (Add correspondence ro) <br />BLM EUGENE DISTRICT OFFICE <br />2890 CHAD DR,PO BOX 10226 <br />EUGENE O 9744D -2226 <br />7. TO: <br />EUG BLM PROCUREM i�T-, <br />fj 00 <br />1 4 <br />6- SHIP TO: <br />FE OF CONSIGNEE <br />hl in Information <br />b. STREET ADDRESS <br />CITY <br />a, NAME OF CONTRACTOR <br />b, COMPANY NAME <br />CITY OF EUGENE <br />c. STREET ADDRESS <br />858 PEARL STREET <br />Cf. CITY STATE f. ZIP CODE <br />EUGENE le on 97401 <br />9. ACCOUNTING AND APPRO RIATION D A -r <br />A <br />I. SHIP VIA <br />N/A <br />d, STATE la. ZIP CODE <br />a. TYPE OF ORDER <br />Xa e. PURCHASE <br />REQUISITIONING OFFICE <br />Pat Johnston - West Eugene <br />❑ c. DISADVANTAGED <br />NO- 15, DELIVER TO F.O.B. POINT <br />ON OR BEFORE (Dar&) <br />REFERENCE YOUiR: <br />b- DELIVERY . Bwept for billing <br />-QUOTE ON 10128/00 <br />Instructions on the reverse, this <br />Please furnish the following on the ferns and <br />delivery order Is subject to <br />instructions contalncd on this side <br />conditions specified on bofh sides of this order and <br />only of this form and is issued <br />on he attached sheet. If any, inctudlng delivery as <br />subject to the tam's and conditions <br />Indicated, <br />of the above numbcred contract, <br />2001 - - - OA094 - - 8522 - - 1160MN <br />11. BUSINESS CLASSIFICATI <br />❑ a, SMALL <br />12, F.O.B. POINT <br />Destination <br />- -, - - - 10. <br />N (Check sppropriatebor(es)) <br />❑ b. OTHER THAN SMALL <br />14. GOVERNMENT SiL <br />OF N/A <br />REQUISITIONING OFFICE <br />Pat Johnston - West Eugene <br />❑ c. DISADVANTAGED <br />NO- 15, DELIVER TO F.O.B. POINT <br />ON OR BEFORE (Dar&) <br />Wetlands Office <br />❑ d. WOMEN -OWNED <br />16- DISCOUNT TERMS <br />10 days % <br />20 days % <br />13. PLACE <br />a. INSPECTION b. ACCEPTANCE <br />DESTINATION <br />DESTI <br />ATION <br />30 days % <br />10 /01/2000 — 09/30/0 <br />days % <br />17. SCHEDULE See reverse <br />e <br />ITEM NO. <br />(a) <br />SUPPLIES OR SERVICES <br />QUANTITY UNIT <br />ORDERED PRICE <br />QUANTITY <br />AMOUNT ACCEPTED <br />(b) <br />( ) (e) <br />q <br />(t) (9) <br />SEA L INE <br />ITEM DETAIL <br />*ATTACMI T 1 IS MADE A PART OF THIS ORb R <br />18. SHIPPING POINT 19. GROSS SHIPPING WEIGHT I 20. INVOICE NO. <br />SEE BILLING 21, MAIL INVOICE TO: Marlys M. Craig <br />INSTRUCTIONS a. NAME <br />ON BLM EUGENE DISTRICT OFFICE <br />REVERSE b STREET ADDRESS <br />(oY P.O. Bob <br />2890 CHAD D z1,PO BOX 10226 <br />c. CITY d_ STATE e. ZIP CODE <br />EUGENE I OR 97440 -2226 <br />22. UNITED STATES OF - 23. NAME (Typed) <br />AMERICA BY (signat <br />Marlys M. Craig , <br />NSN 7540 -01- 152.8083 <br />TITLE: CONTRA9TII <br />Previous edlaon not usable <br />17(h) TOT_ <br />(Coati <br />pages) <br />$1 <br />17(1) <br />GRAND <br />TOTAL <br />Prgscdbw t)yGSA/FAR 48 CFF1 59.2t3(a) <br />