` 1 ~ ~ ~ ~ ~ INVOICE NUMBER <br /> EMPIRE - - <br /> CONCRETE ~ ~ <br /> <br /> _ CUTTING INC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> (541) 746,8818 FAX: (541) 746-1149 CCB# 51754 <br /> TO L• Day f . ,%!"'.f Date ~ ~~f ~ <br /> Job No. ~ <br /> Job Address { ' <br /> Operator r C. _ - r-- ; , ; ; ' <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> f , ~ <br /> _ <br /> x <br /> a I ~ ~J <br /> ,r ' <br /> 5 ~ ` <br /> 6 <br /> 7 - 2-?7-06 A05 ~ Oo I fd <br /> .~,8 1 e ~ ~ <br /> EXTRA'S -CHARGE ORDERS -STAND BY TIME SIGNATURE <br /> 10 ASSQS88b1@? S 01' 0 <br /> 11 <br /> 12 <br /> 13~ <br /> We do not!"assame responsibility for` dat'~tage'cau~~t by ~,ttting btfrierd F ~ s ~ ' <br /> pipe, conduit, voids, steel beams, water damage, percussion damage, ` _ _ <br /> or asbestos abatement. - <br /> . <br /> The undersigned hereby understands and agrees to Empire - • _ ~ ' - <br /> Concrete Cutting credit conditions as follows: - <br /> 1.,bills due and payable 10th of month following date of purchase. • . - . • <br /> 2. Past due bills charge at 2°1° interest per month. . <br /> 3. Should ECC institute collection on this account, I wiN pay reasonable attorney ~ ' ~ C' > <br /> fees and costs incurred in the pursuit of collection, including court costs. sicNA <br /> <br />