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\ ~ , ~ ~ ~ ~ ~ / INVOICE NUMBER <br /> ` EMPIRE ~ <br /> CONCRETE ' ~ ` <br /> CUTTING tNC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> FAX: (541) 746-1149 CCB# 51754 <br /> (541) 746-8818 , <br /> " , ~ ~f' ~ I Date : ~ ' % ~ <br /> TO ~ t.~ 1 Day <br /> r <br /> P.O. No. <br /> 7 Job No. ~J I <br /> C„ f 1~ 7 <br /> Job Address ~ r~ ~ - . ~ Operator~~!~ I-r~'-j" <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> 1 ' ~ ~ ~ ~ <br /> t ~ i <br /> ~ t ~ L / Wit;,,-l <br /> <br /> i }}__JE~ ~ <br /> _ <br /> 8 ~ `i <br /> ROUtB Date as i~DES~s..FTi <br /> 1~ ~ A'S -CHARGE ORDERS -STAND BY TIME RE CUIVtM <br /> 1 U - AC^~t3UNT CODE CC T AA~ID' IT <br /> 11 - <br /> 16? YES <br /> 12 - BYfI'?C _ <br /> 12-27-~6 A:~b ~ 06- I N , ~ <br /> Ve do nofi assume respons r rates b ' . ~ - <br /> 'pe, conduit, ~ioids, steel beams, water damage, percussion damage, ~ <br /> asbestos abatement. . , <br /> ~ undersigned hereby understands and agrees to Empire • <br /> vcrete Cutting credit conditions as follows: ~ ~ • - <br /> sdue and payable 10th of month following date of purchase. • . • - . • <br /> t due bills charge at 2% interest per month. <br /> ~Id ECC institute collection on this account; 1 will pay reasonable attorney <br /> and costs incurred in the pursuit of collection, including court costs. <br /> SIGNATURE. <br /> .,s <br /> <br />