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Information <br />E ABuild On <br />Engineering • Consulting o 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 />customer# <br />Purchase Order <br />Project Number <br />Date <br />Invoice# <br />Page <br />27363 <br />JOB#4677. <br />0722199 <br />06/30/10 <br />BR 00050549 <br />0001 <br />Protect: 15TH & AGATE JOB # 4671 <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />05121110 <br />0722199-1 <br />CON, COMPST-0X8" CYL (EA) <br />4.00 <br />18.00 <br />72.00 <br />05/21/10 <br />0722199-1 <br />REPORT REVIEW <br />1.00 <br />15.00 <br />15.00 <br />05/25/10 <br />0722199-3 <br />CON, COMPST4X8" CYL (EA) <br />4.00 <br />18.00 <br />72.00 <br />05/15/10 <br />0722199-3 <br />REPORT REVIEW <br />1.00 <br />15.00 <br />15.00 <br />Route Date 7' 1 <br />To: ~a~ I~ PLr y <br />531- g <br />3,2-~ <br />73I~- <br />Job No. t1-1n71 <br />8 <br />9051 <br />Contr !)/U- 3 <br />Ass ass e7 YES or ~NO <br />I a IN r p ant. <br />P tI <br />, <br />/520 <br />Sign tur Dat • 7 /S <br />Invoice Total: 174.00 <br />Balance Due: 174.00 <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 Customer # Invoice # Project Number <br />to: 27363 1 BR 00050549 0722199 <br />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 <br />JUL 092010 <br />