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==W"l Information <br />eTo Build On <br />Engineering • Consulting • Testing <br />Professional Service Industries, Inc. <br />www.psiusa.com <br />SPRINGFIELD CS DEPT <br />SPRINGFIELD, OR 97477 <br />(541) 746-9649 <br />Federal ID 37-0902090 <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 />--27353 <br />'on #4641 <br />.0727238 <br />07/31/10 <br />BR 00055776 <br />OQOI <br />Project: FERN RIDGE REHABILITATION (JOB #4641) 3t5- g332 - (o r7a)(~ qq sr8q y <br />U2 <br />to <br />C0 <br />S <br />P <br />i <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />07/16/10 <br />0722238=,11 <br />ENGINEERING TECH, CON (HR) <br />\ 4.00 <br />1 <br />52.00 <br />208.00 <br />07/16/10 <br />0722238-I <br />CON, COMPST4X8" CYL (EA) <br />5.00 <br />18.00 <br />90.00 <br />\ <br />07!16/10 <br />0722238-1. <br />REPORT REVIEW <br />12A0 <br />15.00 <br />30.00 <br />07/17/10 <br />0722238-2 <br />SAMPLE/CYL PICKUP OT (HR) <br />1.00 <br />63.00 <br />63.00 <br />07/17/10 <br />0722238-2 <br />REPORT REVIEW <br />1.00 <br />15.00 <br />15.00 <br />_07/22/10 <br />0722238-3 <br />ENGINEERING TECH, SOIL (HR) <br />~2.00 <br />54.00 <br />108.00 <br />07/22/10 <br />0722238-3 <br />REPORT REVIEW <br />°1.00 <br />15.00 <br />15.00 <br />07/23/10 <br />0722238A) <br />ENGINEERING TECH, CON (HR) <br />\1.50 <br />52.00 <br />78.00 <br />07/23/10 <br />0722238141 <br />ENGINEERING TECH, CON OT (HR) <br />:~1.50 <br />78.00 <br />117.00 <br />07/23/10 <br />07222384 1 <br />CON, COMPSTAX8" CYL (EA) <br />J5.00 <br />18.00 <br />90.00 <br />0723/10 <br />07222384 <br />REPORT REVIEW <br />blLCr Zrc~E1 <br />X2.00 <br />15.00 <br />30.00 <br />07/24/10 <br />0722238-5 <br />SAMPLE/CYLPICK <br />OT(HR)----`°"---"~- <br />I <br />0 <br />63.00 <br />63.00 <br />07/24/10 <br />0722238-5 <br />I <br />REPORT REVIEW Route Deis ^11 7- 1(~ <br />\ <br />1 <br />0 <br />15.00 <br />15.00 <br />Approved By-_=Ce. 111 _ <br />-Gres- :~_~p[Lc2D_3 <br />_ <br />Receipt # <br /> <br />Acct Co&,,,.._.._„` <br />- - <br />Invoice Total: 922.00 <br />ttaiance uue: 922.u0 <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 />ALLPAST 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 Nun <br />to: <br />27363 BR 00055776 0722238 <br />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 <br />AUG 092010 <br />