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~ ¦ Information PSI <br /> ~7~ (541) g46I9649R USA <br /> /r ®To Build On <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> <br /> ~rwr+rofessional Service Industries, Inc. <br /> www.psiusa.com <br /> JAN Q 9 2006 <br /> Mail To: ATTN: DAN KEPLEY 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 3827 722-50217 12/31/05 374132 0001 <br /> Project: 3RD/4TH CONNECTOR PEARL TO LINCOLN, EUGENE, OR <br /> Da Rpt # Description Quantity Unit Cost Amount <br /> 1'1/21/05 0065 CONCRETE COMPRESSION TEST, EA 4.00 17.00 68.00 <br /> 1'1/21/05 0065 CONCRETE TECHNICIAN, PER HR 2.00 40.00 80.00 <br /> 11/21/05 0065 MILEAGE, PER MILE 10.00 .52 5.20 <br /> li/21/05 0065 WORD PROCESSING, PER PAGE 1.00 10.00 10.00 <br /> 11/22/03 0066 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 11 /22/05 0066 MILEAGE, PER MILE 10.00 .52 5.20 <br /> Q~~ Route Date ~ oc~ <br /> r _ "1~Z3 ~ Job o.~ <br /> " ~ Contr No. _ <br /> e ~'Z_~ Assessable? E or NO <br /> I appro ttli f r ayment. <br /> nat Date: <br /> q~~ 1-730 ~ <br /> Invoice Total: ~ 208.40 <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 /> _ <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 <br /> Chicago, IL 60694-1168 27363 374132 722-50217 <br /> <br />