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~ ~ i Information PS, <br /> Springfield, OR USA <br /> ~~7• ®lo Bul(~G~ On (541) 746-9649 SAN Q ~ 2~~7 <br /> engineering • Consulting • Testing Federal ID 37-0962090 y 20 ~ <br /> Professional 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 722-60331 09/30/06 438631 0001 <br /> Project: 40TH AND DONALD <br /> pate Rpt # Description Quantity Unit Cost Amount <br /> 08V30/06 0002 FIELD DENSITY TEST, (HR) 2.00 50.00 100.00 <br /> 08V30/06 0002 MILEAGE, PER MILE 20.00 .55 11.00 <br /> 08y30/06 0002 WORD PROCESSING, PER PAGE 1,00 13.00 13.00 <br /> 08V30/06 0003 ASPHALT EXTRACT70N TEST, EACH 1.00 125.00 125.00 <br /> 08, 30/06 0003 ASPHALT GRADATION TEST, EACH 1,00 70.00 70.00 <br /> 08?30/06 0003 RICE (SPECIFIC GRAVITY TEST)EA 1.00 60.00 60A0 <br /> 0$/30/06 0003 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> OS?30/06 0003 MILEAGE, PER MILE 20.00 .55 11.00 <br /> 08?30/06 0003 ASPHALT DENSITY 4.50 50.00 225.00 <br /> 08?30/06 0003 MILEAGE, PER MILE 20.00 .55 11.00 <br /> ?8?30/06 0003 WORD PROCESSING, PER PAGE 1.00 13.00 13.00 <br /> u Route Data ~ b ZC~ <br /> Job No. y2r~ ~ _ . ~ k~ ~1.~ ~-~.a.w_a <br /> Assessable? YES or NO ~ L l <br /> I approve t~q for p y ~ <br /> ~ _ <br /> IJ ~ ` ~ ~ ~ 'Yl/ <br /> 1 ~{gr~rttr~lre Date; _ <br /> 01- 9-07 A05 44 IN <br /> Invoice Total: 679.00 <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 /> Please mail remittance to: <br /> Professional Service Industries,lnC. Customer # Invoice # Project Number Amount Enclosed <br /> PO Box 71168 <br /> Chicago, IL 60694-1168 27363 438631 722-60331 <br /> <br />