~ l~ 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 /> 4 <br /> www.psiusa.com r <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 0006 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 07/25/07 0023 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 07/25/07 0023 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 07/25/07 0023 ASPHALT INSPECTOR, PER HOUR 1.00 55.00 55.00 <br /> 07/25/07 0023 ASPHALT INSPECTOR, OT (HR) 2.50 82.50 206.25 <br /> 07/25/07 0023 REPORT 1.00 15.00 15.00 <br /> 07/26/07 0024 FIELD DENSITY TEST, (HR) 2.50 52.00 130.00 <br /> <br /> J 07/26/07 0024 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 7/26/07 0024 REPORT 1.00 15.00 15.00 <br /> 07/26/07 0025 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 07/26/07 0025 MILEAGE, PER MILE 18.00 .60 10.80 <br /> x/26/07 0025 ASPHALT INSPECTOR, PER HOUR 1.00 55.00 55.00 <br /> /26/07 0025 ASPHALT INSPECTOR, OT (HR) 2.50 82.50 206.25 <br /> 7/26/07 0025 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 07/26/07 0025 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 07/26/07 0025 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 07/26/07 0025 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 7/26/07 0025 REPORT 1.00 15.00 15.00 <br /> 7/27/07 0026 FIELD DENSITY TEST, (HR) 3.00 52.00 156.00 <br /> 07/27/07 0026 FIELD DENSITY, OT 2.50 78.00 195.00 <br /> 07/27/07 0026 REPORT 1.00 15.00 15.00 <br /> -07/27/07 0026 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 07/27/07 0027 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> f1 ~ j ~ ^ j ~ Invoice Total: *Continued* <br /> ~ v . J .l <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 911101 515653 722-70193 <br /> <br />