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~ ~ i Information PSI 3~ <br /> Springfield, OR USA <br /> ~~7, ®To Build On (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-osszo9o JUL Y r <br /> rofessional Service Industries, Inc. 2~0,; <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 4264 722-60210 06/30/06 414940 0001 <br /> Project: 43RD AND DONALD ST. EUGENE, OREGON <br /> Da Rpt # Description Quantity Unit Cost Amount <br /> /28/06 0001 FIELD DENSITY INSPECTION 3.00 50.00 150.00 <br /> 06/28/06 0001 MILEAGE (2 TRIPS) 20.00 .55 11.00 <br /> 06/ /06 0001 WORK PROCESSING 1.00 13.00 13.00 <br /> /29/06 0002 FIELD DENSITY INSPECTION 3.00 50.00 150.00 <br /> 06/29/06 0002 MILEAGE 10.00 .55 5.50 <br /> 06/29/06 0002 WORK PROCESSING 1.00 13.00 13.00 <br /> o e Dat `7 8 <br /> To: <br /> G~'7 +Ja ~ o. <br /> 03 Cor>tr No. <br /> REG~w~_,.~~.~~'3--~-°~~ iAssessabl YES or <br /> DAT~.~! l~ l~D~ rove to ~ ym nt. <br /> INI~'IpL Sig afore Date: <br /> Invoice Total: 342.50 <br /> TERMS: NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED T011~ <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 /> Please mail remittance to: <br /> Professional Service Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> PO Box 71168 27363 414940 722-60210 <br /> Chicago, IL 60694-1168 <br /> <br />