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Purchase Order Date Re <br />C O E- 2010100134 10/23/2009 <br />Payment Terms Freight Terms <br />N30 Destination <br />Buyer: PW Maint -Admin Services <br />Date Needed: 11/23/2009 <br />sion Page <br />1 <br />Ship Via <br />VENDOR: <br />LANE COUNTY YOUTH SERVICES <br />2727 MARTIN LUTHER KING BLVD <br />EUGENE OR 97401 <br />Phone: <br />Fax: 541 - 682 -2416 <br />SHIP TO: <br />City of Eugene Public Works <br />Maintenance Division <br />1820 Roosevelt Blvd <br />Eugene OR 97402 <br />Department Copy - for internal use only. <br />Line #. <br />Description <br />Ot . / Unit <br />Central Services <br />Total <br />Finance /Purchasing <br />Please send department copy to Heather Nelson. <br />100 West 10th Avenue, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682 -5055 <br />(541) 682 -6233 Fax <br />SHIP TO: <br />City of Eugene Public Works <br />Maintenance Division <br />1820 Roosevelt Blvd <br />Eugene OR 97402 <br />Department Copy - for internal use only. <br />Line #. <br />Description <br />Ot . / Unit <br />Unit Price <br />Total <br />Please send department copy to Heather Nelson. <br />Change Order #1: Changed the distribution and lines so <br />that each line could be received individually. <br />Decrease line 1 from $58,000 to $25,000.01 and added <br />line 2 with $33,000. Line one distribution has $.01 <br />from prior line 1 of distribution and $25,000 to <br />account code 011 - 9640 - 61739. Line 2 account code is <br />535 - 9642- 61739. 11/23/09 sg <br />1 -1 <br />Lane County Youth Work Crews <br />25,000.01 $ <br />1.00 <br />25,000.01 <br />011 - 9640 -61739 <br />2 -1 <br />535 - 9642- 61739 -Youth Work Crews <br />33,000.00 $ <br />1.00 <br />33,000.00 <br />Contract Number: 2005 -05301 <br />Price Agreement: TOTAL: 58,000.01 <br />INSTRUCTIONS TO VENDOR <br />1, Show this purchase order number on all invoices, packages, and the City Purchasing Manager. <br />related correspondence.. 4. Acknowledge this'order immediately and advise shipping date.` <br />2. Prepay all shipping charges. Add agreed upon charges to invoice as 5. Invoice at time'of'shipment. <br />separate line item. No collect shipments will be accepted. Mail invoices to Accounts Payable, City of Eugene; Box 11110, Eugene, <br />3. Deduct all excise and sales taxes. Municipalitiesare exempt. Federal Oregon 97440 -3310. Show to which City Department shipped. <br />Exemption Certificate #93- 730106K, copies of which are available. from 6: Federal Tax ID #93- 6002160 h <br />