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{t r ! <br /> ~ Information Springfield, OR USA <br /> ®ToBuild On (541)746-9649 ~ ~`J`~5 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> <br /> ~,,,.~ofiessional Service Industries, Inc. <br /> www.psiusa.com <br /> Mail To: CITY OF EUG!~NE 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 # Purchase Order Project Number Date Invoice # Page <br /> 27363 ' 4297 JOB NO. 722-50078 11/30/05 368046 0001 <br /> - - -_--r - <br /> Project: WILLAMETTE GARDENS EUGENE, OREGON <br /> page Rpt # Description Quantity Unit Cost Amount <br /> 23?OS 0031 CONCRETE TECH (CANCELLATION) 2.00 40.00 80.00 <br /> 11/23/05 0031 MILE,~GE, PER MILE 10.00 .52 5.20 <br /> . 4~M~ 2 0 6 o t j y 9 L~' ~ ~ ~C-~ <br /> ~x <br /> ~ ~ N_ <br /> 3_° 6 <br /> m Routtz ~ to ~ <br /> . ~ Job <br /> 3„7 ~Z~.' Contr No. <br /> ` ~ ~ , ~ 3to Assessable? YES r <br /> e this or~a~yment. <br /> Signature at : ~z <br /> i I <br /> Invoke Total: 85.20 <br /> TEIRMS: NET 30 DAYS. A $ERVCE 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 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. <br /> Customer # Invoice # Project Number Amount Enclosed <br /> 'PO Box 71168 27363 368046 722-50078 <br /> `tiicago, IL 60694-1168 <br /> Y <br /> -i. <br /> <br />