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w <br /> ' ~ INVOICE <br /> ~ Page: 1 <br /> <br /> ~ Invoice No: PWP-002655 <br /> Invoice Date: 12/07/2006 <br /> Customer Number: 6138 <br /> Payment Terms: 30 Days <br /> Due Date: 01/06/2007 <br /> <br /> I I <br /> <br /> I <br /> AMOUNT DUE: 867.65 USD <br /> SHAPITKA'' JOSEPH <br /> J4399 JUL~ RIDGE <br /> 424 TERR LINDA AVE <br /> EUGENE C~R 97404 <br /> i <br /> I <br /> ine Ad' PO: Net Amount <br /> <br /> i <br /> 1 Inspection i& Construction Related Activities 623.15 <br /> 2 Construction Support 26.00 <br /> 3 Material Testing -PSI 218.50 <br /> i~ SUBTOTAL: 867.65 <br /> I <br /> TOTAL AMOUNT DUE • ss7s5 <br /> <br /> I <br /> FOR (~UESTIONS CONCERNING THIS INVOICE PLEASE CALL DEBBIE CLARK, PUBLIC WORKS <br /> ADMINISTRATION AT 541-682-5728. <br /> <br /> I <br /> I <br /> IIII <br /> MAKE ALL CHECKS PAYABLE TO: <br /> City of Eugene <br /> Financial Services <br /> PO Box 1967 <br /> Eugene, OR 97440 <br /> 541-682-5035 <br /> Original <br /> STANDARD <br /> <br />