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Information <br />®ToBuild On <br />Engineering • Consulting • Testing <br />PSI <br />Springfield, OR USA <br />(541)746-9649 <br />Federal ID 37-0962090 <br />Professional Service Industries, Inc. ~° <br />www.psiusa.com <br />~I. <br />Mail To: ATTN: MIKE WILSON Bill To: CITY OF EUGENE <br />CITY OF EUGENE DEPT. PUBLIC WORKS-ENGINEER DV <br />DEPT. PUBLIC WORKS-ENGINEER DV 244 EAST BROADWAY <br />244 EAST BROADWAY EUGENE OR 97401 <br />EUGENE OR 97401 <br />Customer # _ _ Purchase Order Project Number Date Invoice # Page <br />27363 722-70197 OS/30/07 ~i~';74 0001 <br />Project: MACINTOSH MANOR: PUBLIC JOB# 4478: EUGENE, OR <br /> <br /> <br />Date Rpt # Description Quantity Unit Cost Amount <br />08/31/07 0013 FIELD DENSITY TEST, (HR) 4.00 52.00 208.00 <br />08/31/07 0013 MILEAGE, PER MILE 22.00 .60 13.20 <br />8/31/07 0013 REPORT 1.00 15.00 15.00 <br />09/05/07 0014 FINAL SUMMARY LETTER 1.00 190.00 190.00 <br />09/07/07 0015 ASPHALT INSPECTOR, PER HOUR 6.00 55.00 330.00 <br />09/07/07 0015 MILEAGE, PER MILE 22.00 .60 13.20 <br />09/07/07 0015 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br />09/07/07 0015 MILEAGE, PER MILE 22.00 .60 13.20 <br />09/07/07 0015 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br />09/07/07 0015 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br />09/07/07 0015 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br />9/07/07 0015 REPORT 1.00 15.00 15.00 <br />9/08/07 0016 SAMPLE PICKUP, OT PER HOUR 2.50 63.00 157.50 <br />09/08/07 0016 MILEAGE, PER MILE 22.00 .60 13.20 <br />09/08/07 0016 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br />09/08/07 0016 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br />09/08/07 0016 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br />/08/07 0016 REPORT 1.00 15.00 15.00 <br />9/08/07 0017 ASPHALT INSPECTOR, OT (HR) 5.00 82.50 412.50 <br />09/08/07 0017 MII,EAGE, PER MILE (2 TRIPS) <br />'~ <br />~~°~ 44.00 .60 26.40 <br />09/08/07 0017 SAMPLE PICKUP, OT PER HOUR ~ <br />. <br />~ ~ ~ ~ 2.50 63.00 157.50 <br />/08/07 0017 MILEAGE, PER MILE 22.00 .60 13.20 <br /> Invoice Total: *Continued* <br />TERMS: NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO <br />,... ____ALL-PAST-DUE ACCOUNTS. <br />To assure proper credit to your account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br />Please mail remittance to: <br />Professional Service Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br />PO Box 71168 <br />Chicago, IL 60694-1168 27363 513774 722-70197 <br /> <br />