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I~ i Information PSI <br /> ~~7• ®To Build On Springfield, OR USA I _ <br /> (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 ~ ` ` ' <br /> ~fessional 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 515654 0012 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 08/28/07 0069 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 08/28/07 0069 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/28/07 0069 MILEAGE, PER MILE 18.00 .60 10.80 <br /> t33-`1332-1~173~- 97 S~~`f <br /> k", ~ i ' <br /> r a. QOQc~a3~ 5 Ro ~ , o ~ <br /> _ ~g~. <br /> 1 <br /> _ _ .l.e_._ (~..t::!r wig. <br /> k,y <br /> ( ~ _ _ ~.~.scss,:;Ll Yc:S or '0 <br /> a~l;r~u~k~e; 3;is .or paym® <br /> Sign~tur~ ate: <br /> - ~r~r- <br /> " ~ ' - Invoice Total: 19,619.90 <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 /> <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 515654 722-70193 <br /> <br />