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I~ i Information PSI <br /> Springfield, OR USA <br /> ~~7, ®To Build On (541) 746-9649 <br /> E1ngineering • Consulting • Testing Federal ID 37-0962090 <br /> ~,,,,-dfessional Service Industries, Inc. <br /> www.psiusa.com ~ ~ ° <br /> V <br /> Mlail To: ATTN: A/R Bill To: CITY OF EUGENE <br /> CITY OF EUGENE DEPARTMENT OF PUBLIC WORKS <br /> DEPARTMENT OF PUBLIC WORKS 244 E BROADWAY <br /> 244 E BROADWAY EUGENE OR 97401 <br /> EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 911101 JOB# 4430 722-70336 12/13/07 528600 0001 <br /> i <br /> Pro' ct: TIMBERLINE JOB# 4430 TIMBERLINE: EUGENE <br /> gate Rpt # Description Quantity Unit Cost Amount <br /> 11/p3707 0001 ASPHALT INSPECTOR, PER HOUR 3.00 55.00 165.00 <br /> 11/73/07 0001 ASPHALT INSPECTOR, OT (HR) 1.50 82.50 123.75 <br /> --r 11/13/07 0001 MILEAGE, PER MILE 25.00 .60 15.00 <br /> 111'13/07 0001 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> <br /> ,-,.r 11P13107 0001 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 11/'13107 0001 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 11/,13107 0001 REPORT (JOB 4430) 1.00 15.00 15.00 <br /> Uy~aL z~~ Il~y ~Z ~l.~z_~°~3c~~ • r~~ <br /> . ~ ~o~,re Date 2 ~ <br /> z ~ ~ ~ ~~r, <br /> ( ~ 3~~~ ~a~ <br /> DEC 1 ~ 2001 ~ ;;,=isi: ::t~ii31 Y s or <br /> ! ~;..ut• • ~ phis r <br /> til~n~ezt j <br /> 1 2-~ 2 I - ' `I ~'J ~j ~ ~ ~ Invoice Total: 603.75 <br /> ~.I~n-~~ ~~ZIZ~ <br /> TE M :NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER <br /> Mc ONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO <br /> p $ <br /> ALU 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. Customer # Invoice # Project Number Amount Enclosed <br /> P4 Bax 71168 911101 528600 722-70336 <br /> (Chicago, IL 60694-1168 <br /> <br />