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~ i Information PSI <br /> Springfield, OR USA <br /> ~7, ®To Build On (541} 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> ifessional Service Industries, Inc. <br /> www.psiusa.com _ <br /> Mail To: ATTN: A/R Bill To: CITY OF EUGENE <br /> CITY OF EUGENE DEPARTMENT OF PUBLIC WORKS <br /> DEPARTMENT OF PUBLIC WORKS 244 E BROADWAY <br /> 244 E BROADWAY EUGENE OR 97401 <br /> EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 911101 722-70193 10/18/07 515653 0002 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> <br /> J Date Rpt # Description Quantity Unit Cost Amount <br /> 07/12/07 0006 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 7/12/07 0006 REPORT 1.00 15.00 15.00 <br /> J 7/16/07 0007 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> 07/16/07 0007 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 7/16/07 0007 REPORT 1.00 15.00 15.00 <br /> J 7/17/07 0008 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> 07/17/07 0008 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 7/17/07 0008 REPORT 1.00 15.00 15.00 <br /> J 7/18/07 0009 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> 07/18/07 0009 MILEAGE, PER MILE 18.00 .60 10.80 <br /> '/18/07 0009 REPORT 1.00 15.00 15.00 <br /> 1/13/07 0010 ASPHALT INSPECTOR, PER HOUR 5.00 55.00 275.00 <br /> 07/13/07 0010 MILEAGE, PER MILE 18.00 .60 10.80 <br /> J 07/13/07 0010 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/13/07 0010 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 07/13/07 0010 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 7/13/07 0010 REPORT 1.00 15.00 15.00 <br /> J 7/16/07 0011 ASPHALT INSPECTOR, PER HOUR 5.00 55.00 275.00 <br /> 07/16/07 0011 ASPHALT INSPECTOR, OT (HR) 3.50 82.50 288.75 <br /> 07/16/07 0011 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 07/16/07 0011 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/16/07 0011 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> v ~ Z~Q7 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 /> g Chicago, IL 60694-1168 911101 515653 722-70193 <br /> <br />