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~-a~1p <br /> ' Information PSI <br /> Springfield, OR USA <br /> ®To Build On (541) 746-9649 <br /> <br /> per, Engineering • Consulting • Testing Federal ID 37-0962090 <br /> -Professional Service Industries, Inc. <br /> www.psiusa.com R ~ ~ ~ I ~ J =t~ D 9 d ~4 <br /> Mail To: ATTN: ADAM STEFFEN 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 JOB NO 3933 ~ 722-40215 07!31/04 260129 0001 <br /> Pr' ject: MILTON PARK 3300 UNIVERSITY AVE, EUGENE,OR <br /> ;Date Rpt # Description Quantity Unit Cost Amount <br /> 0/02/04 0001 CONCRETE COMPRESSION TEST, EA 3.00 16.00 48.00 <br /> 0/02/04 0001 CONCRETE TECHNICIAN, PER HR 2.00 39.00 78.00 <br /> 0 /02/04 0001 1LEAGE, PER MILE 18.00 .48 8.64 <br /> 0/02/04 OOOI WORD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 0'/03/04 0002 SAMPLE PICKUP, OT PER HOU~ ~ G~ 1.00 60.00 60.00 <br /> 0"1/03/04 0002 MILEAGE, PER MILE 18.00 .48 8.64 <br /> G <br /> outs at . ~ ~ ~ ~Uu ~S Y <br /> Job No. i - .F~ <br /> Contr No. k.. ~ ~ <br /> Assessable ? YES or N <br /> I pprov is r pa ent. ~NITI <br /> Signature Date: <br /> ~ 3-17-~'+A07:Sb RCVD <br /> I <br /> Invoice Total: 210.28 <br /> TEF2MS: 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 /> Toassure 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 # 1~__ Invoice # Profect Number Amount Enclosed <br /> PO Box 71168 ~--27363 ; 2601---- _ 722-40215 <br /> Chicago, IL 60694-1168 ~ - <br /> <br />