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. _ - ~~ r_-r ----- ~~--'---- <br />• - ~ ~ ~ i Information <br />~~~ ~'o Build On <br />Engineering. • Consulting • Testing <br />Professional Service Industries, Inc. <br />www.psiusa.com <br />Mail To: ATIN: EUGENE, OREGON <br />CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />PSI <br />PSI <br />Springfield, OR USA <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />Bill To: CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />Customer # Purchase Order Project Number Date Invoice # Page <br />2%363 ~ . - _ -- ?22=3G135- --- -08i3-1/08-- --5774S~'- 0002 <br />Project: ROSEWOODS MEADOWS JOB# 4522 HAMMOCK & CAL YOUNG . <br />Date Rpt # Description Quantity Unit Cost Amount <br />08/21/08 0011 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br />08/21/08 0011 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br />08/21/08 0011 ASPHALT GRADATION.TEST, EACH 1.00 80.00 80.00 <br />08/21/08 0011 REPORT 1.00 15.00 15.00 <br />08/31/08 Q)~~P2~ ASPHALT EXTRACTION T'EST, EACH 1.00 140.00 140.00 <br />08/31/08 0012 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br />08/31/08 0012 REPORT 1.00 15.00 15 <br />00 <br />08/31/08 0012 FUEL SURCHARGE <br />` ~~~~ 19.01 . <br />19.01 <br /> ~ 3~ .~ <br />0~ ~. 0~3~ - l~ t <br /> ~.,..._~_~~~~-...~~._~.~ ~ ri-s~n~ :~~ ~ <br /> To: /~l icti~,lle- G~~, ll <br />,~ ~Q. 4s~ ~ , ~ (~ <br />~ <br /> .~na~~ ads~~ <br /> ~~~. <br />~ ~ ~ ~! <br /> o ~~ <br /> .~......~._:.v...~~.~.:.~::.._o.~._.~. _ , ~: <br /> Invoice Total: 1,786.86 <br />TERMS: NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE ADDED TO <br />ALL PAST DUE ACCOUNTS. <br />- - - --- - - - - ---- - -- -- -- ----- - - ------- ----- - - _ - _ - _. _ . ... . .. ...... <br />To assure proper credit to your account, please retum this remittance stub with your check made payable to Professional Service Industries, Inc. <br />Please mail remittance to: <br />Professional Service Industries, Inc. customer # in~o~~e # Project Number Amount Enciosed <br />PO Box 71168 <br />Chicago, IL 60694-1168 27363 579494 722-80135 <br />