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,~ ~ ~ In, formation <br />~~~ ®ToBuild On <br />iffngineering • Consulting • Testing <br />ofessional Service Industries, Inc. <br />www.psiusa.com <br />Mait To: CITY OF EUGENE <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />PSI <br />Springfield, OR USA <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />Bill To: CITY OF EUGENE <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />Customer # Purchase Order Project Number _Date Invoice # Page <br />16267 B S02 722-40186 ;Q6/3`0/04 253159 0001 <br />~~- <br />iT/~TwTT l~n L`!~l~lU <br />r~uJc~.a. v <br />pate ~a.a...,. <br />Rpt # ....~ ..., ~. ~...~, ~-'----~ <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />06716/04 0001 ASPHALT EXTRACTION TEST, EACH 1.00 125.00 125.00 <br />06716/04 0001 ASPHALT GRADATION TEST, EACH 1.00 70.00 70.00 <br />06/16/04 0001 RICE (SPECIFIC GRAVITY TEST)EA 1.00 50.00 50.00 <br />06716/04 0001 SAMPLE PICKUP, PER HOUR 1.00 40.00 40.00 <br />06/16/04 0001 MILEAGE, PER MILE 8.00 <br />00 <br />1 .48 <br />00 <br />7 3.84 <br />7 <br />00 <br />06116/04 0001 WORD PROCESSING, PER PAGE . <br />2 <br />00 . <br />00 <br />42 . <br />00 <br />84 <br />06129/04 0002 EPOXY INSPECTION, PER HOUR . <br />1 <br />00 . <br />00 <br />7 . <br />7 <br />00 <br />06/29/04 0002 <br />I WORD PROCESSING, PER PAGE . . . <br />, <br /> Route Date .'- ~ US ~ X53 <br />~... <br /> To: ~ RE V S ~ <br /> Job No...~ -- <br />-- <br />Contr No <br />DA <br />'? <br />~ <br /> . ~ <br />or NO <br />Assessa~ale . <br />ent <br />~NI <br />I <br />AL <br />~ <br /> . <br />ove th~ Paym , <br />..~ <br />,, .~_. <br /> <br />--L- ~3 _ c74 <br />Signature Date: <br />I <br />----- <br />'-- ___ <br />~ <br />Invoice Total: <br />386.84 <br /> <br />TERN4S: NET 30 DAYS. A SERVCE CHARGE OF 1.5% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18°/. WILL BE ADDED TO ALL <br />_ PAST"DUE ACCOUNTS. <br />To assure proper credit to your account, please return this remittance stub with your check made payable to Professional Service Industries, Inc. <br />Please mail remittance to: <br />Professional Service Industries, InC. Customer # Invoice # Project Number Amount Enciosed_ <br />PO Box 71168 16267 _ 2531 S9 722-40186 <br />Chicago, IL 60694-1168 <br />