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~ ~ ~ I ~ INVOICE NUMBER <br /> ' EMPIRE J j~, ~ <br /> e x - <br /> CONCRETE <br /> CUTTING INC <br /> ~rllr 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> (541) 746-8818 FAX: (541) 746-1149 CCB# 51754 <br /> TO r ~ ~ i'-. r Day iG ,~:~'r__., Date fx'`' . - ~ <br /> r <br /> ~ <br /> Job No. ; <br /> ~ ~ ~ <br /> ' -Y <br /> Job Address~7l/~1 ~ T Operator ~ rc- ~ 'er`r <br /> v <br /> QUANTITY D E S C R' I P T I O N PRICE AMOUNT <br /> ti <br /> - ~ <br /> 2 / ~ <br /> j ~ / i i <br /> ,~!1-~ .._'-ma'r' ,~c,_ 7~a~-:. /z'~.,,-._!~ ~ `~t.~- <br /> Wc,. ?Gf; <br /> ~a <br /> 5 <br /> 6 <br /> ICS <br /> 7 b S ~P 1 -27-Ob AOb ~ Ob I N <br /> ~ R e Oa l a <br /> s To: <br /> EXTRA'S - CNARGE ORDERS -STAND 6Y TIME SIGNATURE CQ~ <br /> 10 <br /> 11 I aQp~NB ~ <br /> 12 <br /> We do not<`assume respo~tsibitiry for. da'rtage caused by crating `busied ~ ~ / p~~ . ~ <br /> pipe, conduit, voids, steal beams; water damage, percussion damage, ` ~ ' ` t <br /> or asbestos abatement. ' • - • ' • - ' • <br /> . <br /> The undersigned hereby understands and agrees to Empire - • - • - - • - • - <br /> Concrete Cutting. credit conditions as follows: ' • - • ' • <br /> t. Bills due and payable 10th of month following date of purchase. ~ • - • • • <br /> <br /> 2. Past due bills charge at 2% interest per month. <br /> <br /> 3. Should ECC institute collection on this account, I will pay reasonable attorney . <br /> fees and costs incurred in the pursuit of collection, including court costs. ~ ' ~ ( 'f <br /> SIGNATURE ` , <br /> <br />