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Purchase Order Date Revision Page <br />COE- 2012100382 04/26/2012 1 <br />Payment Terms Freight Terms Ship Via <br />Now Destination COMMON <br />Buyer: 8990, PW Admin-Financial Svcs <br />Date Needed: 04/26/2012 <br />VENDOR: <br />LANE COUNTY <br />PUBLIC WORKS <br />3040 NORTH DELTA HIGHWAY <br />EUGENE OR 97408 -1696 <br />Phone: <br />Fax: <br />Central Services <br />Finance /Purchasing <br />100 West 10th Avenue, Suite 400 <br />"w Eugene, Oregon 97401 <br />(541) 682 -5055 <br />(541) 682 -6233 Fax <br />SHIP TO: <br />City of Eugene Public Works <br />Administration Division <br />101 E. Broadway #400 <br />Eugene OR 97401 <br />Department Copy - for internal use only. <br />Line# <br />Description <br />Qty. / Unit <br />Unit Price <br />Total <br />DO NOT MAIL PO. SEND TO TAMMY S @ PWA <br />1 -1 <br />GJN 4792 Fund 342 Lane County <br />75,000.00 $ <br />1.00 <br />75,000.00 <br />Lane County will provide services and contracting to <br />have both City -owned and County owned streets prepared <br />and slurry sealed in the Santa Clara area. City will <br />reimburse the County for City -owned portions of the <br />project. PPP <br />Contract #2012 -00218 <br />Project Manager, Brian Davies x5676 PWE <br />DO NOT MAIL PO. SEND TO TAMMY S PWA <br />Contract Number: 2012 -00218 <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 />75, 000.00 <br />the City Purchasing Manager. <br />4. Acknowledge this order immediately 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 />