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A <br /> ¦ Information PSI <br /> Springfield, OR USA <br /> ®To Build On (541j 746-9649 <br /> E~lgineering • resulting • Testing Federal ID 37-0962090 <br /> „rofiessional S rvice Industries, Inc. JUL 1 ~ 206 <br /> www. siusa.com <br /> Mail, To: CITY OF EUG NE Bill To: CITY OF EUGENE <br /> DEPT. PUBLI WORKS-ENGINEER DV DEPT. PUBLIC WORKS-ENGINEER DV <br /> 244 EAST BR ADWAY 244 EAST BROADWAY <br /> EUGENE OR 97401 EUGENE OR 97401 <br /> ustomer # Purchase Order Project Number Date Invoice # Page <br /> 27363 JOB # 4373 722-60156 06/30/06 414902 0001 <br /> Pro c!: ALLISON PARK HWY 99 <br /> Rpt # Descrip ion Quantity Unit Cost Amount <br /> 6/ 7.06 0002 ASP LT INSPECTOR PER HOUR 3.00 50.00 150.00 <br /> 06/ 706 0002 ASPH LT INSPECTOR OVERTIME PER 1.00 75.00 75.00 <br /> 06/ 7 06 0002 MILEA E 24.00 .55 13.20 <br /> 06/ 7,406 0002 ENGIN ERING REVIEW & ANALYSIS 1.00 13.00 13.00 <br /> I <br /> i~ <br /> i <br /> 7-20-06A 547 RCV <br /> Route Dat <br /> T. <br /> pU l2Z ,lobes <br /> ~ E V . 2 Corrtr No. <br /> Assessable? YES or N <br /> ®A E Z~ (~C1> I a rove tni f pa a t. <br /> INI I14L_..__...~~.. C Signature Date: ~ .b <br /> I <br /> j Invoice Total: 251.20 <br /> ~~1~ <br /> TER S~NET 30 DAYS. A S RVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO <br /> ALL A T DUE ACCOUNTS <br /> i <br /> i <br /> <br /> To as~su{e proper credit to you account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br /> Plea mail remittance to: <br /> P~o(:essional Servic Industries, Inc. <br /> P~ fox 71168 Customer # Invoice # Project Number Amount Enclosed <br /> Chicago, IL 60694-1 68 27363 414902 722-60156 <br /> ii <br /> <br />