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i Information PSI <br /> ® Flo ~ulG~.~ on Springfield, OR USA <br /> (541) 746-9649 <br /> Engineering • Consulting • Testing Federal I~ s7-0962090 <br /> Professional Service Industries, Inc. <br /> vvww.psiusa.com <br /> Mail To: CITY OF EUGENE Bill To: CITY OF EUGENE <br /> DEPARTMENT OF PUBLIC WORKS DEPARTMENT OF PUBLIC WORKS <br /> 244 E BROADWAY 244 E BROADWAY <br /> EUGENE OR 97401 EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 911iG1 722-80317 03/31/09 61464r 0001 <br /> Project: ELMIRA/MAPLE RECONSTRUCT JOB #4275 <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> 12/29/08 0003 FLAGGER STAFF 1.00 265.00 265.00 <br /> ao~®Dats~, <br /> r ~ ~ <br /> so: ~ b <br /> Job No~ N® <br /> Contr No..~--- YE (O <br /> Assessable?~s r pa 8 r ~ <br /> 1 aPPro~e G ~ <br /> e ate: ~ ~ <br /> Sign <br /> Invoice Total: 265.00 <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 return this remittance stub with your check made payable to Professional Service Industries, Inc. <br /> <br /> Please mail remittance to: <br /> Professional Service Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> PO Box 71168 <br /> Chicago, IL 60694-1168 911101 614642 722-80317 <br /> APR l 3 2009 <br /> <br />