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- ~ _' T ~ ~ ~.~~~ .,.I..~ ~ ". <br />` r~~i Information <br />+~~- ~~~ ~'0 Bl~l~ ~fZ <br />~ -..~ . <br />Engineer.ing ~ Consu/ting • Testing <br />Professional~~Service Industries, Inc. <br />DCI <br />PSI <br />Springfield, OR USA <br />(541) 746-9649 <br />Federal ID 37-0962090 <br />www.psiusa.com ~~ ~ <br />~l/t/ ~~" ' <br />Mail To: ATTN: EUGENE, OREGON <br />CITY OF EUGENE <br />- DEPT. PUBLIC WORKS-ENGINEER DV <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />Bill To: CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />Customer # Purchase Order Project Number Date Invoice # Page <br />27363 722-80109 06/30/08 593881 0002 <br />Project: MILL ALLEY JOB# 4317 NORTH OF 13TH/WEST OF MILL ST <br />Date Rpt # Description Quantity Unit Cost Amount <br />OS/14/08 0017 REPORT , 1.00 15.00 I5.00 <br />06/11/08 0017 FUEL SURCHARGE 1.00 12.87 12.87 <br /> Route Date L~- I1- v g <br /> To: ~: <br /> Job No. <br />I Contr No. ~ b ~~~ D ~' ~;~-- <br />, Assessable? YES or NO <br /> ~ I approve thi~for p men <br />~.J <br /> Signature Date: <br /> ~~~-~33a-~~~~; ~~~~ <br /> ~~~~ <br /> Invoice Total: 2,111.37 - <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 />__..._..... -- --- -- --- .._ _.... - -- -- - - - - __ - - -._..._ - - - . _._.... <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, II1C. Customer # Invoice # Project Number Amount Enclosed <br />PO Box 71168 27363 59388] 722-80109 <br />Chicago, IL 60694-1168 <br />DEC 0 4 2008 <br />