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~ <br /> ¦ Information Springfield, OR USA <br /> ®To Build On (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> <br /> ~,,,„rafessional Service Industries, Inc. <br /> www.psiusa.com <br /> Mail To: CITY OF EUGENE Bill To: CITY OF EUGENE <br /> DEPT. PUBLIC WORKS-ENGINEER DV DEPT. PUBLIC WORKS-ENGINEER DV <br /> 244 EAST BROADWAY 244 EAST BROADWAY <br /> EUGENE OR 97401 EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 722-60162 05/31/06 407556 0001 <br /> Project: ACORN PARK EUGENE OREGON ZZ <br /> D Rpt # Description Quantity Unit Cost Amount <br /> /11/06 0001 CONCRETE TECHNICIAN, PER HR 2.50 40.00 100.00 <br /> 05/11/06 0001 MILEAGE, PER MILE 10.00 .52 5.20 <br /> OS/ 6 0001 WORD PROCESSING, PER PAGE 1.00 10.00 10.00 <br /> 12/06 0002 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 05!12/06 0002 MILEAGE, PER MILE 10.00 .52 5.20 <br /> j t{ - <br /> o Dat <br /> Q C'~ ~U~ Tob <br /> ~ ~ Con No. <br /> ~~V ~ Ass ssable? YES or 0 <br /> DATE ~ 1~ U I ap ve i or nt. <br /> ~~~Y~AL~ Sign re Date: b <br /> Invoice Total: 160~.4~0 <br /> ~ 10 ~D <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 /> ALt_ 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, IrtC. Customer # Invoice # Project Number Amount Enclosed <br /> PO Box 71168 27363 40755b 722-60162 <br /> Chicago, IL 60694-1168 <br /> <br />