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~1~ Information Office Performing Services /r'~~ ®ToBuild On PSI Engineering • Consulting • Testing Springfield OR U (541) 746-9649 professional Service Industries, InC. Federal ID 37-0962090 www.psiusa.com Mail To: ATTN : ADAM STEFSEN Biii To: CITY OF EUGENE CITY OF EUGENE DEPT. PUBLIC WORKS-ENGINEER DV DEPT. PUBLIC WORKS-ENGINEER DV 244 EAST BROADWAY 244 EAST BROADWAY EUGENE OR 97401 EUGENE OR 97401 ust # Purchase Order Project Number Project Name Date Invoice # Pa e 27363 JOB # 4028 722-30275 OAKMONT PARK 02/29/04 226512 1 OAKMONT WAY, EUGENE ate sport escr pt on Quant' Unit Cost mount 02/!04/04 0008 ASPHALT EXTRACTION TEST, EACH 1.00 125.00 125.00 02/04/04 0008 ASPHALT GRADATION TEST, EACH 1.00 70.00 70.00 02/04/04 0008 RICE (SPECIFIC GRAVITY TEST)EA 1.00 50.00 50.00 02/04/04 0008 ASPHALT INSPECTOR (2.3.04) 1.50 49.00 73.50 02,Y04/04 0008 ASPHALT INSPECTOR, OT (2.3.04) 1.00 73.50 73.50 02,04/04 0008 ASPHALT INSPECTOR, (2.4.04} 2.00 49.00 98.00 2/04/04 0008 MILEAGE, (2.3.04) 2 TRIPS 20.00 .48 9.60 2%04/04 0008 MILEAGE, (2.4.04) 10.00 .48 4.80 02/04/04 0008 SAMPLE PICKUP, (2.3.04) 1.00 40.00 40.00 02/04/04 0008 WORD PROCESSING, PER PAGE 1.00 7.00 7.00 Rou Date ~ Zw~P U Job No. `i a2~~ DATA Oy° Contr No. Assessable? YES or NO ItV~T~AL I apprp e i r~y ,erg - - Signature Date: 3 io °rn! 0;_~~5-:J4 Ao~ ~ Invoice Total 551 .40 TERMS: NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO ALL PAST DUE ACCOUNTS. To assure proper credit to your account, please return this remittance stub with check made out to Professional Service Industries, Inc. please Mail Remittance to: ~ Customer Invoice # Pro ect Number Amount Enclosed professional Service Industries, Ir1C. 27363 226512 722-30275 551.40 P.O. Box 71 168 Chicago, IL 60694-1 168