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fir i Information <br />m~A~ ~7o Build On <br />'Engineering • Consulting • Testing <br />PSI <br />Springfield, OR USA <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />Professional Service Industries, Inc. <br />www.psiusa.com <br />Mail To: ATTN: EUGENE, OREGON <br />EUGENE PUBLIC SCHOOL DISTRICT <br />200 N. MONROE <br />EUGENE OR 97402 <br />Bill To: EUGENE PUBLIC SCHOOL DISTRICT <br />200 N. MONROE <br />EUGENE OR 97402 <br />Customer # <br />Purchase Order <br />Project Number <br />Date <br />Invoice # <br />Page <br />919921 I <br />722-80136 <br />08/31/08 <br />5"19495 <br />0002 <br />Project: SPENCER BUTTE MIDDLE SC1100L 500 E 43RD AVE <br />Date <br />Rpt # <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />08/20/08 <br />0042 <br />SAMPLE PICKUP <br />1.00 <br />42.00 <br />42.01) <br />08/19/08 <br />0043 <br />COMPRESSIVE STRENGTH SAMPLE <br />4.00 <br />15.00 <br />60.0() <br />08/19/08 <br />0043 <br />REPORT REVIEW & DISTRIBUTION <br />1.00 <br />15.00 <br />15.00 <br />08/26/08 <br />0044 <br />CONCRETE TECHNICIAN <br />3.00 <br />43.00 <br />129.00 <br />08/26/08 <br />0044 <br />REPORT REVIEW & DISTRIBUTION <br />1.00 <br />15.00 <br />15.00 <br />08/27/08 <br />0045 <br />FIELD DENSITY TESTING <br />2.50 <br />49.00 <br />122.50 <br />08/27/08 <br />0045 <br />REPORT REVIEW & DISTRIBUTION <br />1.00 <br />15.00 <br />15.00 <br />08/28/08 <br />0046 <br />ASPHALT DENSITY TESTING <br />5.50 <br />49.00 <br />269.50 <br />08/28/08 <br />0046 <br />ASPHALT DENSITY TESTING O/T <br />.50 <br />73.50 <br />36.75 <br />08/28/08 <br />0046 <br />REPORT REVIEW & DISTRIBUTION <br />1.00 <br />15.00 <br />15.00 <br />EuGifNE -S."HOOL DISTRICT 4J <br />~ <br />iP PROJECT APPROVAL FOR PAYMENT <br />co <br />( o <br />PROJECT: <br />~ <br />C <br />ITE: <br />P <br />`f <br />` <br />ork Order # Budget Acct# <br />5 <br />~ <br />ved s <br />A <br />' <br />Pe <br />riod Covered Pa rn <br />p ro <br />ent <br />Date: <br />A <br />proved for Payment by: <br />Authorized lot Payment by: <br />Uaie: ' - - - I Invoice Total: <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 />PO Box 71168 <br />Chicago, IL 60694-1168 919921 579495 722-80136 <br />