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~ i Information PSI <br /> `7f~ Springfield, OR USA <br /> ®To Build On (541) 746-9649 <br /> Engineering • C~nsu!>ting • Tesfing Federal ID 37-0962090 <br /> ,of ssional Se vice Industries, Inc. ~ SAN N~~ p- WA <br /> www.~siusa.com ~1(~ _ <br /> ~~~1~,~~~:_ <br /> Mail''To: ATTN: A/R 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 /> 244 EAST BROADWAY EUGENE OR 97401 <br /> EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 ~ JOB# 4509 722-70304 12/31/07 532388 0001 <br /> Projec : APPLEWOOD ACRES: JOB# 4509 EUGENE, OREGON <br /> Dat Rpt # Descri ion Quantity Unit Cost Amount <br /> ] 0/15?07 0008 PH TE T, EACH 1.00 60.00 60.00 <br /> ]0/15i/07 0008 ORGA IC IMPURITIES, EACH I.00 75.00 75.00 <br /> l Of 15V07 0008 HYDR METER 1.00 195.00 195.00 <br /> 10115J07 0008 REPORT (JOB 4509) 1.00 15.00 15.00 <br /> 3 <br /> ~ ~c'13(~ ~ ~ <br /> l~3 ' Q3 <br /> s d ~ ~~s::~.~ajr Yc <br /> s 0~ ~j <br /> 1 n...02~..~ ~ _ 1 x .I:;rc>4~ this <br /> ~ } rt.. ~ o~ . <br /> Siq an~s:e <br /> A y, . > N <br /> JAN ~ ~ 200 _~...._..~_._....w.. ~z <br /> J 1w <br /> Invoice Total: 345.00 <br /> TERM{S• 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 RBAST DUE ACCOUN S. <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 Service Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> Pp Box 71168 <br /> Chicago, IL 606941168 27363 532388 722-70304 <br /> <br />