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r~ ~ i Information PSI ; ^ <br /> ~o ~u11~(.~ On Springfield, OR USA ~ ~ i <br /> (541) 746-9649 <br /> Eng~eering • Consulting • Testing Federal ID 37-0962090 <br /> rofessional Service Industries, Inc. <br /> wtivw.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 4264 722-60210 09/30/06 436316 0002 <br /> Project: 43RD AND DONALD ST. EUGENE, OREGON <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 09/27/06 0039 ASPHALT DENSITY 4.00 50.00 200.00 <br /> 09/27/06 0039 MILEAGE 20.00 .55 11.00 <br /> 09/27/06 0039 WORD PROCESSING 1.00 13.00 13.00 <br /> /06 0040 ASHPALT EXTRACTION 1.00 125.00 125.00 <br /> 09/27/06 0040 ASHPALT GRADATION 1.00 70.00 70.00 <br /> 09/27/06 0040 RICE 1.00 60.00 60.00 <br /> 09/27/06 0040 SAMPLE PICK-UP 1.00 40.00 40.00 <br /> 09/27/06 0040 MILEAGE 20.00 .55 11.00 <br /> 09/27/06 0040 ASPHALT DENSITY 4.00 50.00 200.00 <br /> 09/27/06 0040 MILEAGE 20.00 .55 11.00 <br /> 09/27/06 0040 WORD PROCESSING 1.00 13.00 13.00 <br /> 5 ~ Rou D Le o <br /> ® ~~Q~ 8 To: <br /> 2 Job o. Zv ti <br /> R~~ Contr No. <br /> lb U ~ Assessable? YES or NO <br /> DAB f. toles I ap is aym t. <br /> Itd1T1AL <br /> Signa re Dat . <br /> 10 - 2 3- 0 6 A 0 6~ 3 4 I N Invoice Total: 2,014.00 <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 /> <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 27363 436316 722-60210 <br /> <br />