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r~ ~ i Information PSI <br /> 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 /> www. siusa.com - <br /> p . <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 0009 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 08/23/07 0061 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> 08/17/07 0062 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 08/17/07 0062 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/17/07 0062 ASPHALT INSPECTOR, PER HOUR 1.00 55.00 55.00 <br /> 08/17/07 0062 ASPHALT INSPECTOR, OT (HR) 4.00 82.50 330.00 <br /> 08/17/07 0062 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/17/07 0062 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 08/17/07 0062 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 08/17/07 0062 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 08/17/07 0062 REPORT 1.00 15.00 15.00 <br /> +8/22/07 0063 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> /22/07 0063 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/22/07 0063 ASPHALT INSPECTOR, PER HOUR 6.50 55.00 357.50 <br /> 08/22/07 0063 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/22/07 0063 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 08/22/07 0063 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 08/22/07 0063 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 8/22/07 0063 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> 08/22/07 0064 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 08/22/07 0064 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/22/07 0064 ASPHALT INSPECTOR, PER HOUR 5.00 55.00 275.00 <br /> 8/22/07 0064 MILEAGE, PER MILE 18.00 .60 10.80 <br /> _ '~~'?`"7 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 /> <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 />