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I'MIR4547 Information <br />MME . wild On <br />Engineering a Consulting • Testing <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 />J <br />J <br />J <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 #4586 <br />0722225 <br />08/31/10 <br />BR 00061203 <br />0001 <br />Project: HARLOW PROJECT COBURG TO I-5 (JOB #4586) <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />08/02/10 <br />0722225-17 <br />ENGINEERING TECH, CON (HR) <br />2.00 <br />52.00 <br />104.00 <br />08/02/10 <br />0722225-17 <br />REPORT REVIEW <br />2.00 <br />15.00 <br />30.00 <br />08/02/10 <br />0722225-17 <br />CON, COMPST-4X8" CYL (EA) <br />6.00 <br />18.00 <br />108.00 <br />08/03/10 <br />0722225-18 <br />SAMPLFJCYL PICKUP (HR) <br />1.00 <br />J 42.00 <br />42.00 <br />08/03/10 <br />0722225-18 <br />REPORT REVIEW <br />1.00 <br />x/15.00 <br />15.00 <br />08/05/10 <br />0722225-19 <br />ENGINEERING TECH, CON (HR) <br />4.00 <br />52.00 <br />208.00 <br />J <br />08105/10 <br />0722225-19 <br />CON, COMPST4X8" CYL (EA) <br />12.00 <br />18.00 <br />216.00 <br />08/05/10 <br />0722225-19 <br />REPORT REVIEW <br />3.00 <br />-/15.00 <br />45.00 <br />08/06/10 <br />0722225-20 <br />ENGINEERING TECH, CON (HR) <br />3.00 <br />J 52.00 <br />156.00 <br />J <br />08/06/10 <br />0722225-20 <br />CON, COMPST-4X8" CYL (EA) <br />6.00 <br />18.00 <br />108.00 <br />08/06/10 <br />0722225-20 <br />REPORT REVIEW <br />2.00 <br />J15.00 <br />30.00 <br />08/07/10 <br />0722225-21 <br />SAMPLEICYL PICKUP OT( R) <br />R <br />9' - <br />1.00 <br />l~ <br />1/63.00 <br />63.00 <br />08/07/10 <br />0722225-21 <br />outC Oate <br />REPORT REVIEW <br />1.00 <br />15.00 <br />15.00 <br />To: _~~4C T RSV <br />_ <br />Job Na (Q <br />6-C) <br />)Or- <br />Z.z <br />Contr. NoZo\O -CO <br />. <br />ASSessable? YES or N <br />- <br />I °_:pUrowaIh1G is t7avmen . <br />Invoice Total: 1,140.00 <br />t iigrau(e t(~1ei I nG I ) N <br />Balance Due: 1,140.00 <br />TERMS: NET 30 DAYS. A SERVICE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WI ®I'ENt I) <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 ill Project Number Amount Enclosed <br />to. 27363 1~ BR 00061203 0722225 1 <br />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 <br />