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Information PSI <br /> M~• ®To Build On Springfield, OR USA <br /> (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> <br /> ;professional Service Industries, Inc. <br /> www.psiusa.com <br /> OCT 1 ~ 20p~ <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 4091 722-50223 09/30/US 353850 0001 <br /> Project: JUDHINS PT NORTH/GLENWOOD BLVD <br /> Date R I, Description Quantity Unit Cost Amount <br /> 0!9!06/0 007 ASPHALT EXTRACTION TEST, EACH 1.00 125.00 125.00 <br /> 09/06/05 07 ASPHALT GRADATION TEST, EACH 1.00 70.00 70.00 <br /> 0!9/06/0 07 RICE (SPECIFIC GRAVITY TEST)EA 1.00 50.00 50.00 <br /> 0!9/06/0 007 ASPHALT INSPECTOR, PER HOUR 2.00 50.00 100.00 <br /> 09/06/0 0007 MILEAGE, PER MILE 10.00 .52 5.20 <br /> 09/06/05 007 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 09/06/05 - 07 MILEAGE, PER MILE 10.00 .52 5.20 <br /> 09/06/05 0 WORD PROCESSING, PER PAGE 1.00 10.00 10.00 <br /> "~J~~y <br /> ~ ~ p.,~~tP p to a ~ ~ <br /> Job No. <br /> Conti No. ,_d <br /> Assers~bie? YES ~ or N <br /> t~~{~¢,~?,° _ - ! ap~ro~~e t i for ~~y .nt <br /> ~ ;Signature Ca e: to ~ ~ <br /> Invoice Total: 405.40 <br /> TERMS: NET 30 DAYS. A SERVCE CHARGE OF 1.5% PER MONTH, WHICH !S AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO ALL <br /> PAST DUE ACCOUNTS. <br /> Tp 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 <br /> Chicago, IL 60694-1168 27363 353850 722-50223 <br /> <br />