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®Info~mation PS' <br /> TT Springfield, OR USA <br /> ~l.O Bull~.~ On (541) 746-9649 <br /> Engineering • Consulting • Testing Federal ID 37-0962090 <br /> Professional Service Industries, Inc. <br /> www.psiusa.com <br /> .~r~e" <br /> Mail To: ATTN: JENNIFER M WILLER PE Bill' To: CITY OF EUGENE <br /> CITY OF EUGENE DEPT. PUBLIC WORKS-ENGINEER <br /> DEPT. PUBLIC WORKS-ENGINEER DV 9944-EAST BROADWAYiSt~ yDQ <br /> EAST BROADWAY, $v idt ~{1Q EUGENE OR 97401 <br /> i EUGENE OR 97401 <br /> Customer # Purchase Order Project Number Date Invoice # Page <br /> 27363 JOB #3923 722-95008 05/31/09 621751 0001 <br /> Project: CHAD DRIVE EXTENSION PERC TEST <br /> Date Rpt # Description Quantity Unit Cost Amount <br /> j 05/19/09 0001 PERCOLATION TESTING{3) 1.00 1000.00 1,000.00 <br /> ,333- ~ 3~2 - ~ I `7~3 ~ 93 s~3 <br /> ROU10 12 ~ b <br /> JOf3 NQ. . _ <br /> Contr No. _ <br /> Assessable . <br /> ~S N <br /> or 0 b 'X <br /> rove th' <br /> ~ S' n~ ~?,re ate. ~ z 'Zc~oc <br /> <br /> i <br /> Invoice Total: 1,000.00 <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 /> To assure proper credit to your account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br /> Please mail remittance to: <br /> Professional Service Industries, InC. Customer # Invoice # Project Number Amount Enclosed <br /> 16707 Collections Center Drive <br /> 27363 621751 722-95008 <br /> Chica o IL 60693 <br /> g, <br /> JUN 11 2Q09 <br /> _ <br /> _ _ _ _ <br /> <br />