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\ 1 I I 1 / ~ INVOICE NUMBER <br /> . ~ ' EMPIRE <br /> CONCRETE ~ y`_`r, y <br /> CUTTING INC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 , <br /> (541) 74&881g r FAX: (541) 746-1149 CCB# 51754 <br /> TO • ~ i ca ~ ~t..~ ~ f, Day ~ :~i Date - h~ _ _ ~ ~ !,r <br /> r <br /> 5r.~ 3 ; ~ ( ~ ~rv*,rr Job No. i ' ~ 5 <br /> '.y=~_ <br /> Job Address ~ b Operator ~ ~ i _ <br /> QUANTITY ~ ( DESCRIPTION PRICE AMOUNT <br /> c~ <br /> r-~ , <br /> S ~ ~ _ !1N <br /> 'J; <br /> 3 <br /> ' S f <br /> '8 -CHARGE ORDERS - S TIM ~ ATURE <br /> 10 <br /> v <br /> 12 ~ ~ I DFx ~ - ~ ~ <br /> We do not assume responsibility for damage caused by cutting~y~ A 1 , <br /> pipe, conduit, voids, steel beams, water damage, percussion ~j~ ~'i <br /> or asbestos abatement. ' ' ' <br /> The undersigned hereby understands and agrees to Empire • • <br /> Concrete Cutting credit conditions es tollows: ' • • <br /> 1. BiNs 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 fhe pursuit of collection, including court costs. <br /> SIGNATUR , <br /> <br />