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~ t+i Information <br />eTo Build On <br />Engineering *Consulting • Testing <br />SPRINGFIELD CS DEPT <br />SPRINGFIELD, OR 97477 <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />Professional Service Industries, Inc. <br />www.psiusa.com <br />CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />99 E. BROADWAY <br />SUITE 400 <br />EUGENE OR 97401 <br />CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />99 E. BROADWAY <br />SUITE 400 <br />EUGENE, OR 97401 <br />_ C_u_ato_mer_#__ <br />_ Purchase Order <br />Project Number <br />Date <br />Invoice # <br />Page <br />27363 <br />_ JOB #4671 <br />' 0722199 <br />05/31/10 <br />BR 00045569 <br />0001 <br />Project: 15TH & AGATE JOB # 4671 <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />0521/10 <br />07221_99-1 <br />ENGINEERING TECH, CON (HR) <br />4.50 <br />52.00 <br />234.00 <br />0521/10 <br />0722199-1 <br />STANDARD OR MODIFIED PROCTOR <br />1.00 <br />180.00 <br />180.00 <br />0521/10 <br />0722199-1 <br />AG, DRY SIEVE (EA) <br />1.00 <br />72.00 <br />72.00 <br />0521/10 <br />0722199-1 <br />REPORT REVIEW <br />3.00 <br />15.00 <br />45.00 <br />0522/10 <br />0722199-2 <br />SAMPLOCYL PICKUP OT (HR) <br />1.00 <br />63.00 <br />63.00 <br />05/22/10 <br />0722199-2 <br />REPORT REVIEW <br />1.00 <br />15.00 <br />15.00 <br />0525/10 <br />0722199-3 <br />ENGINEERING TECH, CON (HR) <br />2.50 <br />52.00 <br />130.00 <br />0525/10 <br />0722199-3 <br />REPORT REVIEW <br />2.00 <br />15.00 <br />30.00 <br />0526/10 <br />07221994 <br />ENGINEERING TECH, SOIL (HR) <br />7.50 <br />54.00 <br />405.00 <br />05/26/10 <br />07221994 <br />SAMPLEICYL PICKUP (HR) ?yq// ( <br />l <br />P <br />1 <br />1.00 <br />~ <br />P <br />42.00 <br />42.00 <br />0526110 <br />0526/10 <br />07221994 <br />0722199-4 <br />ASPHALT, EXT/AGG. GRAD. ~3I ' q /fL <br />( <br />~ <br />ABM,MAX SPECIFIC GRAVITY (EA) <br />/n 1.00 <br />q <br />1.00 <br />220.00 <br />68.00 <br />220.00 <br />68.00 <br />0526/10 <br />0722199-4 <br />REPORT REVI <br />5 1 o <br />3.00 <br />15.00 <br />45.00 <br />F <br />00 <br />ll~DO ~ <br />- <br />sar <br />ES or NO <br />L'ayment. <br />A <br />JUN 0 7 2 <br />Invoice Total: ,9.00 <br />lance Due: 1,549.00 <br />Illib <br />Signa' <br />I' <br />TERMS: NET an DAYS A SERVICE CHARS <br />I PERCENTAGERATE OF 1a^/ WILL RE AnnEn TO <br />ALL PAST DUE ACCOUNTS. - f - - - <br />b-23 do TO -,?w 4 <br />To assure proper credit to your account, please return this remittance stub with your check made payable to PSI. <br />Please mail remittance Customer # Invoice # <br />to: <br />27363 BR 00045569 <br />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 <br />0722199 <br />