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I <br /> Information PSI <br /> `7~ Springfield, OR USA <br /> ®To Build On (541) 746-9649 <br /> En ineering • C nsul>ting • Testing Federal ID 37-0962090 <br /> ~,,,of ssional Se vice Industries, Inc. <br /> www. siusa.com <br /> Mail o: ATTN: A/R Bill To: CITY OF EUGENE <br /> CITY OF EUGENE DEPT. PUBLIC WORKS-ENGINEER DV <br /> DEPT. PUBLIC' WORKS-ENGINEER DV 244 EAST BROADWAY <br /> 244 EAST BROADWAY EUGENE OR 97401 <br /> EUGENE OR 97401 <br /> C stomer # ' Purchase Order Project Number Date Invoice # Page <br /> 27363 JOB# 4509 722-70304 11/30/07 526884 0001 <br /> Projecl: APPLEWOOD A RES: JOB# 4509 EUGENE, OREGON <br /> Date Rpt # Descrip ion Quantity Unit Cost Amount <br /> 10/30~f07 0001 CONC.,TECHNICIAN PER HR 3.00 47.00 141.00 <br /> 10/3007 0001 REPO T (JOB 9509) 1.00 15.00 15.00 <br /> /30407 0001 SAM!' E PICKUP, PER HR 1.00 42.00 42.00 <br /> 0/30X07 0002 CONC TE COMPRESSION TEST, EA 4.00 18.00 72.00 <br /> <br /> ~ /30 07 0002 REPO T (JOB 4509) 1.00 15.00 15.00 <br /> 11/07 07 0003 ST BY 1.00 52.00 52.00 <br /> ~l/07 07 0003 MILE GE (JOB 4509) 15.00 .60 9.00 <br /> 1/08 07 0004 FIELD ENSITY TEST, (HR) 2.00 52.00 104.00 <br /> 11/08 07 0004 MILE GE, PER MILE 15.00 .60 9.00 <br /> 1/08 07 0004 REPO T (JOB 4509) 1.00 15.00 15.00 <br /> /08 07 0005 SAMP E PICKUP, PER HOUR 1.00 42.00 42.00 <br /> /08 07 0005 MILE GE, PER MILE 15.00 .60 9.00 <br /> 11!08 07 0005 ASPH T INSPECTOR, PER HOUR 3.00 55.00 165.00 <br /> 11/08 07 0005 MILE GE, PER MILE 15.00 .60 9.00 <br /> ~ 1 U08V07 0005 ASPH T EXTRACTION TEST, EACH 1.00 140.00 140.00 <br /> 11f08j/07 0005 ASP T GRADATION TEST, EACH 1.00 80.00 80.00 <br /> 11~OS/07 0005 RICE ( PECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br /> 1r'0~/07 0005 REPORT (JOB 4509) C-MIX 1.00 15.00 15.00 <br /> 1110 07 0006 SAMP$,E PICKUP, PER HOUR 1.00 42.00 42.00 <br /> 11 /0 07 0006 MILE GE, PER MILE 15.00 .60 9.00 <br /> 11/0 07 0006 ASPH T INSPECTOR, OT (HR) 2.00 82.50 165.00 <br /> 110 /07 0006 MILE GE, PER MILE 15.00 .60 9.00 <br /> Invoice Total; *Continued* <br /> TERM :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 ST DUE ACCOUNT . <br /> I <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 /> P fessiona! Servi a Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> P Box 71168 <br /> ~,,iC icago, IL 60694 1168 27363 526884 722-70304 <br /> <br />