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Purchase Order Date Revision Page <br />COE- 2011100275 02/17/2011 2 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />Buver : PW Maint - Wstwter Collection <br />Date 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 />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# Description Qty. / Unit Unit Price Total <br />Estimated Delivery 2 weeks ARO <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 will be 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 />TOTAL: 14,720.76 <br />the City Purchasing Manager. <br />4. Acknowledge this order immediately and advise shipping date. <br />5. Invoice at time ofshipment. <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 is <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 />Department Copy - for internal use only. <br />Line# Description Qty. / Unit Unit Price Total <br />Estimated Delivery 2 weeks ARO <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 will be 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 />TOTAL: 14,720.76 <br />the City Purchasing Manager. <br />4. Acknowledge this order immediately and advise shipping date. <br />5. Invoice at time ofshipment. <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 is <br />