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! ~ ~ Information Springfield, OR USA N~~ ®To Build On (541) 746-9649 Engineering • Consulting • Testing Federal ID 37-0962090 'rofessional Service Industries, Inc. www.psiusa.com ~ ,r Mail To: ATTN: A/R Bill To: CITY OF EUGENE CITY OF EUGENE DEPARTMENT OF PUBLIC WORKS DEPARTMENT OF PUBLIC WORKS 244 E BROADWAY 244 E BROADWAY EUGENE OR 97401 EUGENE OR 97401 _~~~-)~9_~~q~-EF Customer # Purchase Order Project Number Date Invoice # Page 911101 722-70193 10/18/07 515655 0003 Project: 18TH AND BAILEY HILL JOB# 4421 EUGENE, OR Date Rpt # Description Quantity Unit Cost Amount 8/30/07 0075 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 08/30/07 0075 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 08/30/07 0075 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 08/30/07 0075 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 08/30/07 0075 MILEAGE, PER MILE 18.00 .60 10.80 8/30/07 0075 REPORT (JOB 4421) 1.00 15.00 15.00 9/05/07 0076 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 09/05/07 0076 MILEAGE, PER MILE 18.00 .60 10.80 J 09/05/07 0076 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 09/05/07 0076 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 '9/05/07 0076 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 9/05/07 0076 REPORT (JOB 4421) 1.00 15.00 5.00 9 ~ S~~s-~ i~o.y~~ ~.`..,,?r N~. sess:~.~e? Ytr.S or O~O I ~ , (~r „ I -s.~,re~va !his r psl?rnerlt. I ~ ~ S gnature Date: ~ ~l a~ o~ ~ Invoice Total: 5,762.10 C~ TERMS: NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO ALL PAST DUE ACCOUNTS. To assure proper credit to your account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. Please mail remittance to: Professional Service Industries, InC. Customer # Invoice # Project Number Amount Enclosed PO Box 71168 911101 515655 722-70193 „ Chicago, IL 60694-1168