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~---t'_J <br /> ' Information PSI <br /> 17 ~ Springfield, OR USA <br /> ~`7• •TO Bllli~ On ~ (541) 746-9649 <br /> <br /> ~ Engineering • Consulting • Testing Federal ID 37-0962090 <br /> Professional Service Industries, Inc. <br /> Www.psiusa.com <br /> Mail To: ATTN: MOLLY BITTER 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 3907 722-40285 09/30/04 274501 0001 <br /> Project: AWBREY PARK IMPROVEMENT 4291 RIVER ROAD <br /> [ate Rpt # Description Quantity Unit Cost Amount <br /> 08/1/04 0001 CONCRETE COMPRESSION TEST, EA 4.00 16.00 64.00 <br /> 08/91/04 0001 CONCRETE TECHNICIAN, PER HR 2.00 39.00 78.00 <br /> 08/91/04 0001 MILEAGE, PER MILE 10.00 .48 4.80 <br /> 08/91/04 0001 WORD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 09/01 /04 0002 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 09/pl/04 0002 MILEAGE, PER MILE 10.00 .48 4.80 <br /> 09/i28/04 0003 FIELD DENSITY TEST, (HR) 2.00 49.00 98.00 <br /> 09/28/04 0003 MILEAGE, PER MILE 10.00 .48 4.80 <br /> 09/28/04 0003 WORD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> you e Days <br /> To: v~ ~ b <br /> Job No. ~ ~ , U <br /> Contr No. or .~1~ <br /> Assessable? YES <br /> I a prove this fo pay ent. ~ <br /> ~ <br /> Signature Date: ~~~'i -ia-~'+,~ci:~7 ~<~~vo <br /> Invoice Total: 308.40 <br /> TERMS: 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 /> PAST DUE ACCOUNTS. <br /> To fissure 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 /> ~Inr' PO Box 71168 27363 274501 722-40285 <br /> Chicago, IL 60694-1168 <br /> <br />