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Purchase Order Date Revision Page <br />COE- 2012100432 05/29/2012 1 - 08/28/2012 3 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />Buyer: 9630, PW -POS Wetlands <br />Date Needed: 08/28/2012 <br />VENDOR: <br />TOM FERY FARM INC <br />PO BOX 361 <br />STAYTON OR 97383 <br />k;k x Central Services <br />Finance /Purchasing <br />'4 100 West 10th Avenue, Suite 400 <br />Eugene, Oregon 97401 <br />9 9 <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 />Phone: 503 - 769 -7496 <br />Fax: 503 - 769 -7496 <br />CHANGE ORDER <br />Department Copy - for internal use only. <br />Line# <br />Description <br />Qty. / Unit <br />Unit Price <br />Total <br />4 -1 <br />536- 9630 -61739 Herbicide Application - Small area / <br />60 $ <br />1.00 <br />60 <br />backpack spray <br />5-1 <br />CO #1: 535 - 9630 -61739 Herbicide Application - Small <br />6,500.00 $ <br />1.00 <br />6 <br />area / backpack spray <br />6 -1 <br />CO #2: 535 - 9630- 61739- 216326 Herbicide Application <br />1,500.00 $ <br />1.00 <br />1 <br />Contract Number: 2012 -05320 <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: 88,140.00 <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 />