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Information <br /> r~~ ®TvBuild On Office Performing Services <br /> PSI <br /> Engineering • Cpnsulting • Testing Springfield OR U <br /> (541) 746-9649 <br /> r°~essional Service Industries, InC. Federal ID 37-0962090 <br /> www.~siusa.com <br /> <br /> Main To: ATTN : MS KRIS OLSON Bill To: <br /> CITY OF UGENE CITY OF EUGENE <br /> I'~ PUBLIC W RKS/MAINTENANCE PUBLIC WORKS/MAINTENANCE <br /> 1820 ROO EVELT BLVD. 1820 ROOSEVELT BLVD. <br /> EUGENE j OR 97402 EUGENE OR 97402 <br /> ~I <br /> Cust # Purch sc Order Project Number Project Name Date Invoice ~ Page <br /> j915200 JOB #4 30 722-30202 OAKFERN ROAD (E. RIDGE VILLAGE) 08/31/03 189579 1 <br /> EUGENE, OREGON <br /> e sport scnpt~on Quantit Unit Cost mount <br /> 08 04/03 0002 F~ELD DENSITY TEST, PER HOUR 1.00 49.00 49.00 <br /> OS 014/03 0002 M LEAGE, PER MILE 6.00 .48 2.88 <br /> 08 Oi4/03 0002 W RD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 08 06/03 0003 PHALT INSPECTOR, PER HOUR 1.00 49.00 49.00 <br /> 08 05/03 0003 W~RD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> 0821/03 0004 ASPHALT INSPECTOR, PER HOUR 1.00 49.00 49.00 <br /> 2/03 0004 WARD PROCESSING, PER PAGE 1.00 7.00 7.00 <br /> I <br /> Rqqute Date <br /> To: /~i- t S Ol S~crn <br /> Job No. `~L>~2 _ <br /> Contr No. <br /> Asses ble? YES or N ~C~--~~ <br /> e-th's or ment. ATE g a <br /> - ...~,n...-.- <br /> i Igna re Date: ~ 2y' NITIAL,_..e.w <br /> I <br /> 09-2 -'„03A0'1 ~26 RCVD <br /> i ' Invoice Total : 170 .88 <br /> i <br /> I <br /> TER NET 30 DAYS. A ERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE <br /> AD E~~TO ALL PAST DUE~ACCOUNTS. <br /> To ~ssUre proper credit to your account, please return this remittance stub with check made out to Professional Service Industries, Inc. <br /> P'~'~se Mail Remittance to: <br /> Customer Invoice # Project Number Amount Enclosed <br /> fessional Service Industries, InC. 915200 189579 722-30202 170.88 <br /> P. ,Box 71 16~ <br /> Chicago, IL 60694-1 168 <br /> <br />