Purchase Order Date Revision Page <br />COE- 2011900275 02/17/2011 1 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />uver: PW Maint- Wstwter Collection <br />ate Needed: 02/17/2011 <br />VENDOR: <br />FLUID CONNECTOR PRODUCTS INC. <br />2720 W 5TH AVENUE <br />EUGENE OR 97402 <br />Phone: 541 - 343 -1229 <br />Fax: 541 - 343 -8347 <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 />- <br />Y, <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 />Qty. / Unit <br />Unit Price <br />Total <br />Please fax PO to Eric 541.343.8347 <br />- Request Receipt Confirmation - <br />Dept. copy to Kris A. PW - Maint <br />1 -1 <br />Parker S9 (Blue) Hose <br />9,718.32' $ <br />1.00 <br />9,718.32 <br />per solicitation 2011200051 <br />Quote E2134023 by Eric W, dtd 2 -15 -11 <br />Sewer Hose Parker S916 -800 Predator 3000 psi (blue <br />hose) <br />1 ", 800' lengths - No splices <br />3 rolls - 3239.44 each = 9718.32 <br />2 -1 <br />Parker S9 (Blue Hose) <br />2,122.94 $ <br />1.00 <br />2,122.94 <br />Sewer Hose Parker S916 -600 Predator 3000 psi (blue <br />hose) <br />1 ", 600' length <br />3-1 <br />Parker S9 (Blue Hose) <br />2,879.50 $ <br />1.00 <br />2,879.50 <br />Sewer Hose Parker S912 -800 Predator 3000 psi (blue <br />hose) <br />3 4 ", 800' length - No splices <br />r <br />L <br />Contract Number: <br />Price Agreement: <br />INSTRUCTIONS TO VENDOR <br />1 Show this purchase, order number_ on all invoices, packages, and <br />related correspondence: <br />2. Prepay all shipping charges. Add agreed upon charges to invoice as. <br />separate line item. No collect shipments wilrbe accepted. <br />3. Deduct all excise and sales taxes. Municipalities are exempt. Federal <br />Exemption Certificate #93- 730106K, copies of which are available from <br />the City Purchasing Manager. <br />4. Acknowledge this orderimmediately and advise shipping. date. <br />5. Invoice at time of shipment. <br />Mail invoices to: Accounts Payable, City. of Eugene, Box'11110, Eugene, <br />Oregon. 97440 -3310. Show to which City Department shipped. <br />6. Federal Tax ID #93- 6002160 <br />