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Information 200 Springfield, OR USA <br /> '~~71 ®To Build OnJ N ° 9 (541) 746-9649 <br /> ~ilgineering • nsulting • Testing Federal ID 37-0962090 <br /> rpfiessional S rvice Industries, Inc. <br /> www. siusa.com <br /> Dail To: CITY OF EU ENE 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 /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 JOB # 4373 722-60156 05!31 /06 407551 0001 <br /> Pr edt: ALLISON PA 99 HWY, <br /> ate Rpt # Descri tion Quantity Unit Cost Amount <br /> 2 06 0001 FIELD DENSITY TESTS -PER HOUR 2.00 50.00 100.00 <br /> OS 2 /06 0001 MILE GE 24.00 .52 12.48 <br /> 052 /06 0001 ENG ERING REVIEW & ANALYSIS 1.00 10.00 10.00 <br /> i <br /> 1 <br /> i <br /> r ii <br /> oZl - <br /> v ~ ~ Ro to Date <br /> j0 Job o. <br /> Contr No <br /> ~ ' ~~~T~~?L--~~--~" Assess le? YE or NO <br /> I a rov thi for p nt. <br /> G <br /> Signature Date: • i • <br /> i <br /> R j Invoice Total: 122.48 <br /> ~ ~u1~ <br /> i <br /> <br /> TEF~M~• NET 30 DAYS. A ERVICE CHARGE OF 1.5°/. PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18•/. WILL BE ADDED TO <br /> <br /> AL PST DUE ACCOUN <br /> i <br /> i <br /> i <br /> To ~s~ure proper credit toy ur account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br /> Ples$ mail remittance to: <br /> rpfessional Servi a Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> (J Box 71168 27363 407551 722-60156 <br /> hicago, IL 60694- 168 <br /> I <br /> <br />