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Information <br />Build 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 />Customer# Purchase Order <br />27363 JOB #4641 <br />Project: FERN RIDGE <br />(JOB #4641) <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 />sect Number Date Invoice# Page <br />0722238 08/31/10 BR00061211 0003 <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />08/24/10 <br />072223849 <br />SAMPLE/CYL PICKUP (HR) <br />1 00 <br />42 00 <br />42 00 <br />0824/10 <br />0722238-19 <br />REPORT REVIEW <br />1 00 <br />15 00 <br />15 00 <br />08/25/10 <br />0722238-20 <br />ENGINEERING TECH, CON (HR) <br />1 00 <br />52 00 <br />52 00 <br />08/25/10 <br />0722238-20 <br />ENGINEERING TECH, CON OT (HR) <br />1 00 <br />78 00 <br />78 00 <br />08/25/10 <br />0722238-20 <br />CON, COMPST-4X8- CYL (EA) <br />5 00 <br />18 00 <br />90 00 <br />08/25/10 <br />0722238-20 <br />REPORT REVIEW <br />2 00 <br />15 00 <br />30 00 <br />08126/10 <br />0722238-21 <br />SAMPLE/CYL PICKUP (HR) <br />1 00 <br />42 00 <br />42 00 <br />08/26/10 <br />0722238-21 <br />REPORT REVIEW <br />1 00 <br />15 00 <br />15 00 <br />08/27/10 <br />0722238-22 <br />ENGINEERING TECH, CON (HR) <br />2 00 <br />52 00 <br />104 00 <br />0827/10 <br />0722238-22 <br />CON, COMPST-4X8" CYL (EA) <br />5 00 <br />18 00 <br />90 00 <br />0827/10 <br />0722238-22 <br />REPORT REVIEW <br />200 <br />1500 <br />3000 <br />0828/10 <br />0722238-23 <br />SAMPLE/CYL PICKUP OT (HR) <br />1 00 <br />63 00 <br />63 00 <br />0828/10 <br />I <br />0722238-23 <br />REPORT REVIEW <br />100 <br />1500 <br />1500 <br />Invoice Total. 2,95100 <br />Balance Due: 2,95100 <br />SEP 0 7 2010 <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 00061211 0722238 <br />v' <br />V <br />V <br />i <br />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 <br />