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i~ i Information PSI <br /> Springfield, OR USA <br /> /v~~ ®To Build On (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> ~„~fessional 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 0001 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> <br /> J 8/01/07 0029 FIELD DENSITY TEST, (HR) 3.00 52.00 156.00 <br /> 08/01/07 0029 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/01/07 0029 REPORT 1.00 15.00 15.00 <br /> J 08/01/07 0030 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 08/01/07 0030 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/01/07 0030 ASPHALT INSPECTOR, OT (HR) 3.50 82.50 288.75 <br /> 08/01/07 0030 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/01/07 0030 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 08/01/07 0030 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 08/01/07 0030 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> ~8/O1/07 0030 REPORT 1.00 15.00 15.00 <br /> /02/07 0031 FIELD DENSITY TEST, (HR) 3.00 52.00 156.00 <br /> 8/02/07 0031 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/02/07 0031 REPORT (JOB# 4421) 1.00 15.00 15.00 <br /> 8/03/07 0032 FIELD DENSITY TEST, (HR) 3.00 52.00 156.00 <br /> 08/03/07 0032 FIELD DENSITY, OT 1.50 78.00 117.00 <br /> 08/03/07 0032 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/03/07 0032 REPORT (JOB# 4421) 1.00 15.00 15.00 <br /> 8/02/07 0033 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 08/02/07 0033 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/02/07 0033 ASPHALT INSPECTOR, OT (HR) 1.50 82.50 123.75 <br /> 8/02/07 0033 MILEAGE, PER MII,E 18.00 .60 10.80 <br /> ~`7 ~ ~ % "'~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 /> To assure proper credit to your account, please return this remittance stub with your check made payable to Professional Service Industries, tnc. <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 />