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~ ~ ~ ~ ~ ~ ~ ~ ~ ~ INVOICE NUMBER <br /> ~ y EMPIRE <br /> yZO~ - ~ <br /> • <br /> Route Qate <br /> ETE jQ; ' <br /> _ ~~~..~1Z~Z TYING INC Job 3~/a yva~ y3vt~ <br /> ` SPRINGFIELD _ e:~77 <br /> (541) 746-8818 ENIT~~L 1) 746-1 i49 CCB# ` ~ ? YfS ~ <br /> 4 - ~ ; <br /> ~ r t; <br /> t '~J i i f f <br /> ij t `J.-~li 'r k...-~:..~. i. ' .7~i~il~ ~d. NO. <br /> u <br /> ~ ~U ~ Job No.~ ~ ~ l <br /> Job ~Addr <br /> ss ~ - ~ ! t ~~7 `fir' f t~ _ t'~ ~ <br /> ~ ~ Operator <br /> _ QUANTITY DESCRIPTION PRICE AMOUNT <br /> ~ ~ ~ <br /> l <br /> , ~ <br /> ~ - <br /> ~ / r <br /> L' <br /> 8 ~ ''1 l.~ C3 ~ I/ f <br /> ~ ~ ~ ~ ~ ~J" T CODE AC AMOUNT <br /> - - <br /> EXTRA'S -CHARGE ORDERS - S AND BY TIME ~ SHiNA <br /> 4 ~ - ~ <br /> 1 <br /> <br /> l , ~ s ~ 12-2~ p6 ,~~Ob~06 <br /> f We do not as~unTe responsibility fbr damage caused by cutting buriei3 ~ ` ~'t1 • <br /> ffff _ <br /> .pipe, conduit,woids, steel beams, water.damage, pefcussioii"damage, ~ ~ <br /> or asbe$tos abatement. ' • • - - • - • <br /> . <br /> The undersigned hereby understands. and agrees to Empire • - • • - - - - - <br /> ~Cohcrete Cutting credit, conditions aa'follows: ' ' ' • - - ' • ' <br /> 1. Bills due and payable 10th of month following date of purchase. ~ ~ • - ~ • ~ . • <br /> 2's Past due bills charge at 2% interest per month. <br /> Should ECC institute collection on this account, I wNl pay. reasonable attorney <br /> °""fees slid costs incurred in the pursuit of collection, including court costs. <br /> . SIGNATURE <br /> .;..-vu's ~F,a'~~#rie;~aacMk:*t ua~~~ #+~!=h~i<r-r' ?~-,a : <br /> ry,.. x.,-., .:p ...,-~.~„K. .z..,• - ,,+*~N.. ~ _ . , v .s:-.:: ~ _ <br /> <br />