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~ i Information PSI <br /> Springfield, OR USA <br /> ®To Build On (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 0003 <br /> Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 8/08/07 0038 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> 08/08/07 0038 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/08/07 0038 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> 8/04/07 0039 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 08/04/07 0039 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 08/04/07 0039 ASPHALT INSPECTOR, OT (HR) 8.50 82.50 701.25 <br /> <br /> J 08/04/07 0039 MILEAGE, PER MILE (2 TRIPS) 36.00 .60 21.60 <br /> 08/04/07 0039 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 08/04/07 0039 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 08/04/07 0039 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> X8/04/07 0039 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> /09/07 0040 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> 8/09/07 0040 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/09/07 0040 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> 1 8/10/07 0041 FIELD DENSITY TEST, (HR) 2.00 52.00 104.00 <br /> ~I 08/10/07 0041 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/10/07 0041 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> 8/11/07 0042 FIELD DENSITY, OT 2.00 78.00 156.00 <br /> 1 08/11/07 0042 MILEAGE, PER MILE 18.00 .60 10.80 <br /> 8/11/07 0042 REPORT (JOB 4421) 1.00 15.00 15.00 <br /> 8/13/07 0043 FIELD DENSITY TEST, (HR) 5.00 52.00 260.00 <br /> 08/13/07 0043 MILEAGE, PER MILE 18.00 .60 10.80 <br /> i"1~ <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 <br /> Chicago, IL 60694-1168 911101 515654 722-70193 <br /> <br />