Purchase Order Date Revision Pa <br />COE-2005100199 10/2012004 1 <br />Pa Terms Frei Terms Ship Via <br />N30 Destination COMMON <br />Bu 8910; PW Admin-Svcs <br />Date Needed: <br />VENDOR: <br />HERITAGE SEEDLING, INC <br />4194 71 ST AVENUE SE <br />SALEM OR 97317 <br />Phone- 5031585-9835 <br />Fax- 5031371-9688 <br />J0 Central Services <br />'iamb Finance/Purchasin g <br />100 West 10th Avenue, Suite 400 <br />Eu Ore 97401 <br />(541) 682-5055 <br />(541) 682-6233 Fax <br />a 0 1- <br />SHIP TO: <br />Cit of Eu Public Works <br />Administration Division <br />101 E. Broadwa #400 <br />Eu OR 97401 <br />Department Cop - for internal use onl <br />Line# <br />Description <br />Qt l Unit <br />Unit Price <br />Total <br />Please send department cop to Kris Aanderud <br />Chan Order #1: Increase PO b $65,065 per Amendment <br />#3, new PO total is $107,934.00. Contract established <br />b solicitation 2005200020. 7120109 s <br />Chan Order #2: Chan fundin for $15,000 to <br />535-9630-61739 +$15,000 <br />per email re from Kris Aanderud. 517110 s <br />CO#2 revised: Line 2 reduced b 14,999, Line 3 added <br />to allow for receivin $15,000 independent of other <br />funds on Line 2 Account code is 535-9630-62900. <br />12/10/10 s <br />CO#3 added 2 lines to increase funds. $8010.00 to <br />531-933561739-915562-310 and $105000.00 to <br />535-9630-61739 per Amendment #4 dtd 2-8-11. 2 -17 -11 ju <br />CO3#a: decrease funds on line 4 to correct g rant code <br />from 310 to 356. No chan to PO Total. jfl 09101111 <br />Chan Order #4: Amendment #5 extends a for <br />the third of five potential one- renewals, revises <br />the seed price based on acrea in production for the <br />2012 harvest, and specifies conditions for adjustin <br />Contract Number: 2005-05408 <br />Price A <br />INSTRUCTIONS TO VENDOR <br />1. Show this purchase order number on all invoices, packa and <br />related correspondence. <br />2. Prepa all shippin char Add a upon char 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 />the Cit Purchasin Mana <br />4. Acknowled this order immediatel and advise shippin date. <br />5. Invoice at time of shipment. <br />Mail invoices to: Accounts Pa Cit of Eu Box 11110, Eu <br />Ore 97440-3310. Show to which Cit Department shipped. <br />6. Federal Tax ID #93-6002160 <br />