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' ~ PSI <br /> Information Springfield, OR USA <br /> ~~71 ToBuild On (541) 746-9649 <br /> ® MAR 1 ~ 2007 <br /> Engineering • C nsuilting • Testing Federal ID 37-osszoso <br /> <br /> I~,,,rafessional Se vice Industries, Inc. <br /> www.{~siusa.com <br /> i <br /> Maiw 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 /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 722-60326 02/28/07 467717 0001 <br /> Project: JULE RIDGE <br /> pads Rp # Descri tion Quantity Unit Cost Amount <br /> 02/!06/07 0005 FIELD DENSITY INSP (PER HOUR) 2,00 50.00 100.00 <br /> 02106?07 0005 MILE GE (PER MILE) ~ 20.00 .55 11.00 <br /> 02/06/07 000 WO PROCESSING -EACH PAGE 1.00 13.00 13.00 <br /> 02112/07 0006 FIELD DENSITY INSP (PER HOUR) 6 3.00 50.00 150.00 <br /> 02112J07 0006 MILE GE (PER MILE) ~ 20.00 .55 11.00 <br /> 02/12/07 0006 WO PROCESSING -EACH PAGE 1.00 13.00 13.00 <br /> 02/06/07 000 CONC TE INSPECTION (PER HOUR) ~ 2.00 45.00 90.00 <br /> 0210 /07 0007 MILE GE (PER MILE) 20.00 .55 11.00 <br /> 021!0 /07 0007 CONC TE COMPRESSION TEST E 4.00 17.00 68.00 <br /> 0210 /07 0007 SAMP E PICK-UP (PER HOUR) ~ ~ ' 1.00 40.00 40.00 <br /> 0210Q/07 0007 MILE GE (PER MILE) ` 20.00 .55 11.00 <br /> 210/07 0007 WO PROCESSING -EACH PAGE 1.00 13.00 13.00 <br /> 210 /07 0007 CONC TE CYLINDERS 4.00 17.00 68.00 <br /> Route Date ~L.~-'' b ` <br /> Yo: ~ <br /> ~1yp, ~9fa <br /> Job No.~:~q.~. <br /> 9--- <br /> Contr No. 3rd G <br /> Assessable? YES or NO <br /> I ap rove hi r p 0 3 ~ 4- 0 7 A l ~ O 6 I N <br /> Signature Date <br /> Invoice Total: 599.00 <br /> TEFkM I • NET 30 DAYS. A ERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18•/. WILL BE ADDED TO <br /> ALL P~4ST DUE ACCOUN <br /> III <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 /> Please mail remittance to: <br /> Priofessional Servile Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> PD Box 71168 <br /> <br /> ~Clnicago, IL 60694-;I'1168 27363 467717 722-60326 <br /> I <br /> <br />