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h <br />formation <br />i In <br />VMM <br />I Xo Build On <br />Engineering • 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 />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 />Customer # <br />Purchase Order <br />Project Number <br />Date <br />Invoice # <br />Page <br />27363 <br />JOB 44583 <br />0722198 <br />05/31/10 <br />BR 00045568 <br />0001 <br />Project: HAWKINS/OAKWAY JOB #4583 <br />Date <br />Work Order Nbr <br />Description <br />Quantity <br />Unit Cost <br />Amount <br />05/19/10 <br />0722198-1 <br />SAMPLEICYL PICKUP (HR) <br />1.00 <br />42.00 <br />42.00 <br />@ COBURG PIT (EGGE) <br />05/19/10 <br />0722198-1 <br />REPORT REVIEW <br />1.00 <br />15.00 <br />15.00 <br />Route Date ''IV tG <br />To: FAQ KC-y, <br />Job No. `t58,z1 <br />Contr. No. Zoook -COZ <br />bo <br />0IQO1t5- <br />:7 <br />As eb YES or ' NO <br />O G <br />28 <br />pp~ <br />I ap v his At payment. <br />Sig t ur oat : to / <br />Invoice Total: 57.00 <br />Balance Due: 57.00 <br />6U AuLN,! I~~1 <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 />Professional Service Industries, Inc. <br />16707 Collections Center Drive <br />Chicago, IL 60693 <br />27363 BR 00045568 0722198 <br />JUN 0 7 2010 <br />