Purchase Order Date lWision Page <br />COE- 2005100410 04/26/2005 1 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />Buyer: PW Maint -Admin Services <br />Date Needed: 04/29/2005 <br />VENDOR: <br />LANE COUNTY DEPARTMENT OF YOUTH SERVICES <br />2727 MARTIN LUTHER KING BLVD <br />EUGENE OR 97401 <br />United States <br />Central Services <br />Finance /Purchasing <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 />United States <br />Fax: <br />Phone: <br />Line# Description <br />Qty. /Unit Unit Price _ :Total , <br />** *Please send; PO and dept copy ;to Webb Sussman at <br />PWM: * ** <br />Per,contract:2005- 05301. Work to be completed by <br />6- 30 -05: <br />1 -1 Youth Work trews <br />_ 50,000.00 $ 1.00 50;000.00 <br />Contract Number: 2005 05301 <br />TOTAL: <br />Price Agreement:' ..:.. <br />50,000.00 <br />_. <br />INSTRUCTIONS TO VENDOR <br />1. Show this purchase order number on all invoices, packages, and <br />the City Purchasing Manager, - <br />related correspondence. <br />4. Acknowledge, this order immediately and advise shipping date. <br />2. Prepay all shipping charges. Add agreed upon charges to invoice as <br />separate line item. No collect shipments will be accepted. <br />5. Invoice at time of shipment: <br />Mail invoices to: Accounts Payable, City of Eugene, Box 11110,' Eugene, <br />3. Deduct all excise and sales taxes. Municipalities are exempt. Federal_ <br />Oregon 97440 -331 t). Show to which City Department shipped. <br />`Exemption :Certificate #93- 730106K, copies of which are available from <br />6:.Federal Tax ID #93- 6002160 <br />Form PO -2 Rev. 0103 <br />