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° <br /> N ~ i Information PSI ~ <br /> Springfield, OR USA <br /> •To Build On (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> <br /> professional Service Industries, Inc. <br /> www.psiusa.com <br /> Mail To: ATTN: ADAM STEPHEN Bill To: CITY OF EUGENE <br /> CITY OF EUGENE DEPT. PUBLIC WORKS-ENGINEER DV <br /> DEPT. PUBLIC WORKS-ENGINEER DV 244 EAST BROADWAY <br /> 244 EAST BROADWAY EUGENE OR 97401 <br /> EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 JOB 4123 722-40349 10/31/04 281357 0001 <br /> Project: FRANK K~NNY PARK 875 ?rIAIZTIN STREET, EUGENE <br /> pate Rpt # Description Quantity Unit Cost Amount <br /> 10!13/04 0001 CONCRETE COMPRESSION TEST, EA 4.00 16.00 64.00 <br /> 10/13/04 0001 CONCRETE TECHNICIAN, PER HR 2.00 39.00 78.00 <br /> l O/13/04 0001 MILEAGE, PER MILE 22.00 .48 10.56 <br /> 10/13/04 0001 WORD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 10/14/04 0002 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 10/14/04 0002 MILEAGE, PER MILE 22.00 .48 10.56 <br /> ,T ~s a 753 <br /> To: Route Date + t ~ ~ 2~2 <br /> Jab No. ~.1 <br /> l~ ~,A E ~ ~ l ~~i' <br /> Contr l~~(.?. <br /> Ass~3sd~ie? or D_ i~~ ~I,~L <br /> ~ ap~3 0°v~~. t iS ~.;a~ .nt. <br /> Signature gate: ~i~__-____ <br /> Invoice Total: 210.12 <br /> TERMS: NET 30 DAYS. A SERYCE CHARGE OF 1.5•/. PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18°/.WILL BE ADDED TO ALL <br /> 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 /> ProfeSSiOtlal Service Industries, Inc. Customer # Invoice # Project Number Amount Enclosed <br /> PO Box 71168 27363 281357 722-40349 <br /> Chicago, IL 60694-1168 <br /> <br />