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~ PSI <br /> / Information Springfield, OR USA <br /> ~~71 ®To Build On (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> ~ofessional Service Industries, Inc. ~ ~ „ <br /> t <br /> www.psiusa.com <br /> Mail To: ATTN: A/R 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 # Purcha ' Orde Proje u r Date Invoice # Page <br /> 27363 JO # 4426 7 2-70241 08/31/07 507265 0001 <br /> Project: GILHAM ROAD JOB NUMBER: 4426 <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 07/03/07 0001 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 07/03/07 0001 MILEAGE, PER MILE 15.00 .60 9.00 <br /> 07/03/07 0001 ASPHALT INSPECTOR, PER HOUR 3.00 55.00 165.00 <br /> 07/03/07 0001 MILEAGE, PER MILE 15.00 .60 9.00 <br /> 07/03/07 0001 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/03/07 0001 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 07/03/07 0001 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 07/03/07 0001 REPORT (JOB# 4426) 1.00 15.00 15.00 <br /> 7/03/07 0002 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 07/03/07 0002 MII,EAGE, PER MILE 15.00 .60 9.00 <br /> ^x/03/07 0002 ASPHALT INSPECTUR, PER HOUR 6.50 55.00 357.50 <br /> /03/07 0002 MILEAGE, PER MILE 15.00 .60 9.00 <br /> <br /> ,j /03/07 0002 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/03!07 0002 ASPHALT GRADATION TEST, EACH 1.00 <br /> 07/03/07 0002 RICE (SPECIFIC GRAVITY TEST)EA ~ 65. 6~ <br /> e 65.00 <br /> 7/03/07 0002 REPORT (JOB# 4426) Tf 15. ~ ©I -~~Ip 15. <br /> 7 i Yi.S <br /> ~ J .__..__...~._._~.~i Signa~ur Data <br /> ~a 1 <br /> l3 3 "4 r3 3 2 - CGL? 3~' ~7 ~'t/cl'~ / Invoice Total: 1,242.50 <br /> ~YL 1 <br /> ,V/ 1~iJ <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 27363 507265 722-70241 <br /> Chicago, IL 60694-1168 2007 <br /> SEP ~ ~ <br /> <br />