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Information <br />J eToBuild On <br />Engineering • Consulting • Testing <br />Professional Service Industries, Inc. <br />www.psiusa.com <br />CITY OF EUGENE oil 309? <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />99 E. BROADWAY <br />SUITE 400 <br />EUGENE OR 97401 <br />SPRINGFIELD CS DEPT <br />SPRINGFIELD, OR 97477 <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />99 E. BROADWAY <br />SUITE 400 <br />EUGENE, OR 97401 <br />Customer # <br />Purchase Order <br />Project Number <br />Date <br />Invoice # <br />Page <br />27363 <br />JOB #4674 <br />0722165 <br />03/31!10 <br />BR 00035936 <br />0001 <br />Project: 15TH & HIGH tpQ Z.p tV Si~R A ( `r`~ FVV") <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />03/23/10 <br />0722165-1 <br />ENGINEERING TECH, CON (HR) <br />4.50 <br />52.00 <br />234.00 <br />03/23/10 <br />0722165-1 <br />CON, COMPST4X8" CYL (EA) <br />4.00 <br />18.00 <br />72.00 <br />03/23/10 <br />0722165-1 <br />REPORT REVIEW <br />3.00 <br />15 00 <br />45.00 <br />03/23/10 <br />0722165-1 <br />MILEAGE <br />20.00 <br />0.60 <br />12.00 <br />2 TRIPS <br />03/24/10 <br />0722165-2 <br />SAMPLE/CYL PICKUP (HR) <br />1.50 <br />42.00 <br />63.00 <br />03/24/10 <br />0722165-2 <br />REPORT REVIEW / I 1 ~a~ l~ j <br />3 ~ (Q <br />5 <br />1.00 <br />15 00 <br />15.00 <br />31- ~ 33z- lY <br />Route Date L l <br />To: -DouCc, <br />Job No. ' (-,07 <br />Contr. No. Z O 1 o - i <br />Assessable? YES or k NO <br />I approve this for payment. <br />Signature ate: j <br />Invoice Total: 441.00 <br />Balance Due: 441.00 <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 PSI. <br />Please mail remittance <br />to: <br />Customer # Invoice # Project Number Amount Enclosed <br />27363 BR 00035936 0722165 <br />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 APR 0 9 2010 <br />