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i~ i Information PSI <br /> ~~71 ®To Build On Springfield, OR USA <br /> (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> ,~fessional Service Industries, Inc. <br /> www.psiusa.com y~'F <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 0003 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> <br /> J Date Rpt # Description Quantity Unit Cost Amount <br /> 7/16/07 0011 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> .07/16/07 0011 REPORT 1.00 15.00 15.00 <br /> 07/17/07 0012 ASPHALT INSPECTOR, PER HOUR 2.00 55.00 110.00 <br /> 07/17/07 0012 ASPHALT INSPECTOR, OT (HR) _ 2.00 82.50 165.00 <br /> 07/17/07 0012 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 07/17/07 0012 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/17/07 0012 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 07/17/07 0012 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 7/17/07 0012 REPORT 1.00 15.00 15.00 <br /> 7/19/07 0013 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> '/19/07 0013 MILEAGE, PER MILE 18.00 .60 10.80 <br /> //19/07 0013 REPORT 1.00 15.00 15.00 <br /> 7/18/07 0014 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 07/18/07 0014 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 07/18/07 0014 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/18/07 0014 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 07/18/07 0014 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 07/18/07 0014 ASPHALT INSPECTOR, PER HOUR 2.00 55.00 110.00 <br /> 07/18/07 0014 ASPHALT INSPECTOR, OT (HR) 4.00 82.50 330.00 <br /> 07/18/07 0014 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 7/18/07 0014 REPORT 1.00 15.00 15.00 <br /> 07/20/07 0015 FIELD DENSITY TEST, (HR) 2.50 52.00 130.00 <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 911101 515653 722-70193 <br /> Chicago, IL 60694-1168 <br /> <br />