Financial- Dental Maintenance of Oregon (Property Lease)

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~~_,.~ 1i'1~rr~~jr [J c~rt~~t~ MARION COUNTY PURCHASING 220 HIGH STREET SALEM, OREGON 97301 (503) 588-5295 VENDOR DENTAL MAINTENANCE OF OR PC 1160 LIBERTY STREET SE SALEM OR 97302 PURCHASE ORDER l~~"'-~~-//~~ ~~9//~ /,lJ_~~ NUMBER: 011254 SHIP TO: ELYN M. LYON Marion County General Services 100 High Street NE Salem, OR 97301 SEND INVOICES TO: Marion County General Services 100 High Strcct NE Salem, OR 97301 ~~ o. , • ~- - CONTRACT NO.: ,~~ , - ~ REQUISITION DATE: 05/21/1997 . ~ v- DATE ORDERED: 05/21/1997 - DATE REQUIRED: 05/2111997 VENDOR NUMBER: 689259 QUANTITY UNITS DESCRIPTION UNIT PRICE TOTAL AMOUNT 1 : LT : RELOCATION.CLAIM ............................................................................:........................_$23,819;32..:........................$23,81.9.32.. . . • . . . . . . ...................................................................................................... , . ~ .................................................................................................................................. ................................................ : ' .......................................................................................................1.....................................................8................................................... ...........................1..................4........................... . ' ........................"" ~................. ~..................................................................................................... ~ : """'""".....___"'"""'..."' ~"""'_"""....."":"'"__"'"""""_'_"""'""'"'"""'_'"""........""""___'......""'"".....'"'""'_"'""""'"""""""'"""'""""...."'"'""' : : . ~ • ' . . .....................................................p................................................. • ' . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . ~ . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S : : ....................................j.....................................................{.................................................... ...........................~..................~.............................................................................................. . ..."' .................... :................. F............................................._...................................................................................:.......................... : .......................... :..................~........................................................................................................................ : : : : ' ....n ................................................... ................................................ ...........................i..................l..................................................................................................................................~. . • ............................................D................................................... ~ : ...........................1..................1..................................................................................................................................1......... ~ .."""""""_"".........."" :-......""""'"'""'"_'""'"""".......""_""'"".....""""""'"'"""""'""""""'"'"""'""""""""""'"""""""""'""""....""""" ...............""'"'""""""""""~""""""""'"""' ; '"""".........."".'"""'...'....""""__"........~.........."""""""........_'"'""""'"""'""""_""....."'""""""""'"" ................................"'"""""...""""""" : : ; .....5 .....................................................~.................................................... .................................................................................... ..........................:..................~......................................... . : '. : ...................................j.....................................................{.................................................... .....""" ...................1................../............................................................................................... . . $23,819.32 TOTALS r. e... AU11'1VRILCU o~. ~~~ BRIEF DESCRIPTION (OPTIONAL) RELOCATION CLAIM DUE TO COURTHOUSE CT PURCHASINa OFFICER - Richard P. Strickland NOT VALID Unless Signed By Purchasing Officer INSTRUCTIONS TO VENDOR 1. Please direct any questions conceming this purchase order to invoiced department 2. Purchase Order Number must appear on all invoices, packages and shipping documents relating to this order 3. Separate invoices must be submitted for each Purchase Orlder. 4. Do not overship or substitute. 5. If you cannot supply the items requested, please notify issuing authority at once.