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PSI <br />Springfield, OR USA <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />3RD REQUEST~ FOR PAYMENT <br />Mail To: CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />244 EAST BROADWAY <br />EUGENE OR 97401 <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 />27363 722-80138 _ 06/30L08;- -.567071 . _ OQO?__ <br />Project: BARGER JOB#4433 <br />Date Rpt # Description Quantity Unit Cost Amount <br />06/11/08 0009 ASPHALT INSPECTOR, PER HOUR 5.00 55.00 275.00 <br />06/11/08 0009 ASPHALT INSPECTOR, OT (HR) 2.00 82.50 165.00 <br />06/11/08 0009 ASPHALT EXTRACTION TEST, EACH 1.00 140.00 140.00 <br />06/11/08 0009 ASPHALT GRADATION T'EST, EACH 1.00 80.00 80.00 <br />06/11/08 0009 RICE (SPECIFIC GRAVITY T'EST)EA 1.00 65.00 65.00 <br />06/11/08 0009 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br />06/11/08 0009 MII..EAGE, FOR SAMPLE PICKUP 22.00 .60 13.20 <br />06/11/08 0009 MILEAGE, PER MILE 22.00 .60 13.20 <br />06/11/08 0009 REPORT 1.00 15.00 15.00 <br />06/12/08 0010 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br />06/12/08 0010 MILEAGE, PER MILE 22.00 .60 13.20 <br />06/13/08 0011 ASPHALT INSPECTOR, PER HOUR : ,•-; . -;: = ;8:00 ° ,- ~~ ` , 55.00 440.00 <br />06/13/08 0011 ASPHALT INSPECTOR, OT (HR) ` .50 82.50 41.25 <br />06/13/08 0011 ASPHALT EXTRACTION T'EST, EACH 1.00 140.00 140.00 <br />06/13/08 0011 ASPHALT GRADATION TEST, EACH 1.00 80.00 80.00 <br />06/13/08 0011 RICE (SPECIFIC GRAVITY TEST)EA 1.00 65.00 65.00 <br />06/13/08 0011 MILEAGE, PER MILE 22.00 .60 13.20 <br />06/13/08 0011 REPORT 1.00 15.00 15.00 <br />06/13/08 0011 SAMPLE PICKUP, PER HOUR 1.00 42.00 42.00 <br />06/13/08 0011 MILEAGE, (SAMI'LE PICKUP) 22.00 .60 13.20 <br />06/13/08 0012 ASPHALT INSPECTOR, PER HOUR 2.00 55.00 110.00 <br />06/13/08 0012 ASPHALT INSPECTOR, OT (HR) 4.00 82.50 330.00 <br />~Q Invoice Total: *Continued* <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_P_ASLDUE ACCOUN7S. .. . - - - -- - - -- _ -- <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. <br />PO Box 71168 <br />Chicago, IL 606941168 <br />Customer # Invoice # Project Number Amount Enclosed <br />27363 567071 722-80138 <br />