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~sE- <br /> • <br /> Information PSI <br /> N~'~ •To Build On Springfield, OR USA <br /> (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <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 # Puy <br /> chase Order Project Number Date Invoice # Page <br /> 27363 3999 722-40307 09/30/04 274521 0001 <br /> PrpJect: ARROWHEAD PARK PARK DEVE. EUGENE, OREGON <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 09/16/04 0001 CONCRETE COMPRESSION TEST, EA 4.00 16.00 64.00 <br /> 09/16/04 0001 CONCRETE TECHNICIAN, PER HR 2.00 39.00 78.00 <br /> 09/16/04 0001 MILEAGE, PER MILE 18.00 .48 8.64 <br /> 09/16/04 0001 WORD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 09/23/04 0002 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 09/23/04 0002 MILEAGE, PER MILE 18.00 .48 8.64 <br /> Route Date ~ ~r <br /> Job tvo ~ i ~ ~`-J <br /> ~'t <br /> Contr No.._.,, <br /> Assessable ? YES ar v <br /> I a rove this i r ay ent. <br /> Signature Date: <br /> 10 "I~-)~,~07~~7 RCVD <br /> Invoice Total: 206.28 <br /> <br /> TE~tMS: NET 30 DAYS. A SERVCE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO ALL <br /> PAASST 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, InC. Customer # Invoice # Project Number Amount Enclosed <br /> PO Box 71168 27363 274521 722-40307 <br /> Chicago, IL 60694-1168 <br /> <br />