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~._ <br />:~~ ~ <br />~'~~~r.c~ri <br />~: r>rulr~ <br />MARION G`~UNTY <br />PURCHASING <br />220 HIGH STREET <br />SALEM, OREGON 97301 <br />(503) 588-5295 <br />VENDOR <br />PURCHA~SE <br />ORDER <br />NUMBER: 009685 <br />SCHENK, MICHAEL <br />3152 TURNER RD SE <br />SALEM OR 97302 <br />SHIP TO: <br />ELYN LYON <br />Marion County General Services <br />220 High Street N.E. <br />Salem, OR 97301 <br />SEND INVOICES TO: <br />Marion County General Services <br />220 High Street N.E. <br />Salem, OR 97301 <br />CONTRACT NO.: REQUISITION DATE: DATE ORDERED: DATE REQUIRED: VENDOR NUMBER: <br /> 03/18/1997 03/18/1997 03l18/1 997 688460 <br />QUANTITY UNITS DESCRIPTION UNIT PRlCE TOTAL AMOUNT <br />..................... ~..:..~T........: RELOCATION CLAIM............................................................... <br />......................................... .............:.........................$20,000:00 : <br />............................ $20,000 :00.. <br />...........................:............... .:..... ................................................................................~..................--~--.............;....... ...................................... ............................................... <br />.... . .f~ ~ . :. .....~..~. `..~. .... .........-~--~--~---....~, ; ...... ~.-;~.-..-~--~----................................ <br />.....°~~. ,.~....~!••.~............ '.~~~'~rS.~i..... ....... . ... .................................... ~ j~.......... ............ ... . ~:.....:~.........:.................................................... <br />. . . . <br />...........................:................. :....................................................................................... ...........................................:..................................................... :.................................................... <br />....................~-~---.;..................;................................................................_..........---•--•--•-~--•---.....................................;.....................................................F...................----............................ <br />.......................... t..................t..................................................................................................................................:.....................................................:.................................................... <br />.......................... :................. :................................................................................................................................. :.....................................................:.................................................... <br />. . . . <br />. . . . <br />. . . . <br />...........................:..................:..................................................................................................................................................................................•-----_.......--••--~----................................. <br />...........................i..................i.....................................................................................................................--~--...---~-~--................................................... f................................................... <br />.......................... :................. :..................................................................................................................................:.....................................................:.................................................... <br />.......................... :..................:..................................................................................................................................:.....................................................:.................................................... <br />. . . . <br />. . . . <br />. . . . <br />...........................:..................:............................................................................................................................................................................................................----....-~-~--~-~----............ <br />...........................i..................>..................................................................................................................................;.....................................................~.................................................... <br />TOTALS $20,000.00 <br />AUTHORIZED BY: <br />~~~~~~.~ . ~ - <br /> PURCHASING OFFICER - Richard P. Strickland <br />BRIEF DESCRIPTION (OPTIONAL) NOT VALID Unless Signed By Purchasing Officer <br />RELOCATION FIXED PAYMENT CLAIM <br /> INSTRUCTIONS TO VENDOR <br /> 1. Please direct any questions conceming this <br />PRINT COPY FOR DEPARTMENT <br />„ purchase order to invoiced department <br />~ ''"' 2. Purchase Order Number must appear on all <br />' ~ ~~,1 invoices, packages and shipping documents <br /> ~ relating to this order <br />~ t.,~~ 3. Separate invoices must be submitted for each <br />~ <br />C <br />~ <br />1~ Purchase Order. <br />4 <br />Do not overship or substitute <br /> ,~,~, <br />, . <br />. <br /> ~~ 5. If you cannot supply the items requested, please <br />~ ~ notify issuing authority at once. <br />