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GJN4386 Invoice 120706
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GJN4386 Invoice 120706
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Entry Properties
Last modified
1/19/2010 4:41:55 PM
Creation date
9/2/2008 4:10:25 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Invoices-Payments & Receivables
PW_Active
No
External_View
No
GJN
004386
GL_Project_Number
374386
Identification_Number
PWP-002654
COE_Contract_Number
2006-00520
Retention_Destruction_Date
6/2/2018
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~ Information PSI <br /> Springfield, OR USA <br /> I~~7• ®To Build On (541) 746-9649 ~ I ~ - ~ ` <br /> engineering • nsulting • Testing Federal ID 37-09112090 <br /> Prl~fessional Se vice Industries, Inc. <br /> www. siusa.com <br /> IYllail 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 /> i <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 722-60290 09/30/06 436332 0001 <br /> Pro c~: RIVENDELL JO #4386 <br /> at' Rpt # Descrip ion Quantity Unit Cost Amount <br /> 5X06 0006 FIELD ENSITY TEST, (HR) 2.00 50.00 100.00 <br /> 09/ 5106 0006 MILEA E, PER MILE 15.00 .52 7.80 <br /> 09 0006 WORD PROCESSING, PER PAGE 1.00 10.00 10.00 <br /> 6,106 0007 ASPH LT EXTRACTION TEST, EACH 1.00 125.00 125.00 <br /> 09/ 6 06 0007 ASP T GRADATION TEST, EACH ~ 1.00 70.00 70.00 <br /> 09/ 606 0007 RICE ( PECIFIC GRAVITY TEST)EA 1 1.00 50.00 50.00 <br /> 09/ 6 06 0007 SAMP E PICKUP, PER HOUR 1.00 40.00 40.00 <br /> 09/ 606 0007 MILEA E, PER MILE b 23 15.00 .52 7.80 <br /> 09/ 6/06 0007 ASP T INSPECTOR, PER HOUR 2.00 50.00 100.00 <br /> 19/ 6A06 0007 WORD ROCESSING, PER PAGE 11.00 10.00 10.00 <br /> i~r~ <br /> Route D to /o/ice/ ~ <br /> T <br /> ob o. <br /> Contr N . <br /> j Assessable? YES r NO <br /> I ap rove tM's for <br /> 10 19-06 A05 ~ 49 i N yment. <br /> Signature Date: <br /> ~ Invoice Total: 528.40 <br /> I <br /> ~ <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 assute proper credit to you account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br /> Piea~ mail remittance to: <br /> Professional Servic Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> PIS Box 71168 27363 436332 722-60290 <br /> Clhicago, IL 60694-1 68 <br /> <br />
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