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~ 'Information Psl <br /> ~ ? Springfield, OR USA <br /> ~~7• ®To Build On (541) 746-9649 <br /> ~gineering • Consulting • Testing Federal ID 37-0962090 <br /> .•Prafessional Service Industries, Inc. <br /> www.psiusa.com <br /> Mail To: ATTN: ADAM STEFFEN Bifl 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 # 4028 722-30275 03/31/04 232863 0001 <br /> Project: OAKMONT PARK OAKMONT WAY, EUGENE <br /> pate Rpt # Description Quantity Unit Cost Amount <br /> 02/7/04 0009 CONCRETE TECHNICIAN, PER HR 2.00 39.00 78.00 <br /> 02/7/04 0009 CONCRETE COMPRESSION TEST, EA 5.00 16.00 80.00 <br /> 02/7/04 0009 MILEAGE, PER MILE 10.00 .48 4.80 <br /> 02/7/04 0009 WORD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 02/28/04 0010 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 02/.28/04 0010 MILEAGE, PER MILE 10.00 .48 4.80 <br /> 03103/04 OOI 1 SAMPLE PICKUP, (FIELD CURE) 1.00 40.00 40.00 <br /> 0303/04 0011 MILEAGE, PER MILE 10.00 .48 4.80 <br /> 1 <br /> oute ate S <br /> 11 a~~ <br /> To: .lC~. ~ G <br /> Job No. , ~ ~t R~C~+ ~1 <br /> Contr No. <br /> Assessable? Y~:S or NO DATA ~ _ <br /> I ap rove bis or ~~f yl~rient. ~!~lITI _ <br /> Signature Date: <br /> - ~:~o RCVD <br /> Invoice Total: 259.40 <br /> TERMS: NET 30 DAYS. A SERVCE CHARGE OF 1.5% PER MONTH, WHICH tS AN ANNUAL PERCENTAGE RATE OF 1 B% WILL BE ADDED TO ALL <br /> PA{5T DUE ACCOUNTS. <br /> To assure proper credit to your account, please return this remittance stub with your check made payable to Professional Services Industries, Inc. <br /> Please mail remittance to: <br /> Professional Service Industries, InC. Customer # invoice # Project Number Amount Enclosed <br /> PO Box 71168 <br /> <br /> ~r ~ Chicago, IL 60694-1168 _ 27363 232863 722-30275 <br /> <br />