Mail To: CITY OF EUGENE <br />DEPT. PUBLIC WORKS-ENGINEER DV <br />244 EAST BROADWAY <br />EUGENE OR 97401 <br />PSI <br />Springfield, OR USA <br />(541) 746-9649 <br />FederallD 37-0962090 <br />3RD REQUEST FOR PAYMENT <br /><":" <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 722-80138 _.. ._06/30LOR___ ...._SbZ071 - 00(15_ <br />Proiect: BARGER JOB#4433 <br />Date Rpt # Description Quantity Unit Cost Amount <br />06/18/08 0019 RICE (SPECIFIC GRAVIT'Y TEST)EA 2.OQ 65.00 130.00 <br />06/18/08 0019 SAMPLE PICKUP, PER HOUR 2.00 42.00 84.00 <br />06/18/08 0019 MILEAGE, (2 TR1PS SAMPLE) 44.00 .60 26.40 <br />06/18/08 0019 MILEAGE, PER MILE 22.00 .60 13.20 <br />06/18/08 0019 REPORT 1.00 15.00 15.Q0 <br />06/18/08 0019 JUNE FUEL SURCHARGE 1.00 104.74 104J4 <br /> 3RD REQUEST <br /> REMINDERS HAVE BEEN SENT YET THIS INVOICE REMAINS ST DUE. <br /> PSI SIMPLY CAN NOT CONTINUE TO CARRY PAST DUE BALA CES, WE TR ~ ST <br /> YOU WILL TAKE THIS OPPORTUNITY TO MAIL YOUR PAYME TODAY. <br /> ..~.._~.<< <br />_..._.___._._._ <br />... _ <br />~,C~ ~~I'~~~°~ 33 <br />~ _ a ~3a e ~~~~-a <br /> ~ <br />~wfi~~~ Ma,rN~~~ <br />1 ~ <br />' <br />' <br /> ~ <br />o: . /,. <br />9CA <br />` <br />~ <br />3 <br /> . <br />0~.~ v o o~a ~ <br />t <br />~ <br />, ~~b A <br /> i'~ ~ ~ ~' ~ <br />;;*~ <br /> ~,',,. <br />,~~~ <br />„~;,,.,~ ~~: ~a'`~' ~,U'(,l~ <br />T,,, <br />`) <br /> . e~t63.i.~'~= ~~ ~ t~`~ <br /> <br />• . Y~_. .~~..~i._.~~..,~-•<aa... <br />~...~t~~~ ' _ <br />_-- - - -----_ _ ___ <br />- <br />~~ Invoice Total: 7,936.64 <br />DEC 1 & 2008 <br />>~ <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-RAST-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, lnc. customer # invoice # Project Number Amount Enclosed <br />PO Box 71168 <br />Chicago, Il. 606941168 27363 567071 722-80138 <br />