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~ i Information Psi ~ ~ <br /> ®To Build On Springfield, OR USQ <br /> (541) 746-9649 ~ ? j _ ; <br /> ' I _ ? <br /> Engineering • C nsulting • Testing Federal ID 37-0962090 <br /> Prof ssionai Se vice Industries, Inc. <br /> www. siusa.com <br /> Mail~To: ATTN: KRIS LSON Bill To: CITY OF EUGENE <br /> CITY OF EUG NE DEPT. PUBLIC WORKS-ENGINEER DV <br /> DEPT. PUBLI WORKS-ENGINEER DV 244 EAST BROADWAY <br /> j 244 EAST BR ADWAY EUGENE OR 97401 <br /> EUGENE OR 97401 <br /> ustomer # Purchase Order Project Number Date Invoice # Page <br /> 27363 JOL#4~9 722_70131 06/30/07 4gzR33 gOnl <br /> Project: BUSHNELL LN. EUGENE, OREGON <br /> Date Rpt # Descri ion Quantity Unit Cost Amount <br /> 06/20V07 0005 FIELD DENSITY INSPECTION Z.00 52.00 104.00 <br /> 06/20j/07 0005 MILE GE 20.00 .55 11.00 <br /> 06/2W07 0005 WO PROCESSING 1.00 15.00 15.00 <br /> ~I~ x(70 <br /> rte: Do ~t~ . , <br /> Job ftiia, 44~ <br /> 9~ Or ~ <br /> I try ~~13 <br /> si~n~.~~~ o ~II~~J o P <br /> i (a l- 4351- Gvt? ~(yy <br /> Invoice Total: 130.00 <br /> TERM :NET 30 DAYS. A ERVICE CHARGE OF 1.5% PER MONTH, WHICH tS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO <br /> ALL P ST DUE ACCOUNT . <br /> <br /> To as~ure proper credit toy ur account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br /> Pleas@ mail remittance to: <br /> Professional Servi a Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> P4 Box 71168 27363 493833 722-70131 <br /> Chicago, IL 60694- 168 <br /> <br />