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r ~ ~ ~ INVOICE NUMBER <br /> r ~ Gy'1 Dj0 EMPIRE Route Date ~~20::~~ <br /> R~~V~Z~Z ETE To: - <br /> ~ .TYING INC ,Job 35~d yy~~ v3y,, <br /> ® ~ ~ . _ <br /> * SPRINGFIELD ~d~;'~?'**~--Y~S ~ <br /> I~~~"t~L__t,~1~746-1149 CCB# <br /> t~~) 7as-8s~ 8 t above iti. <br /> ~ ~ ~ i n <br /> TO 1 P <br /> r... f ~i~i; Kok..-~..~ f~r~ ~ t1a'~ PO.'No. <br /> / ~ <br /> ~,~3-' ~ ~ ~ Job No~ -T <br /> { <br /> ` ~ ~ I _ etc , n<:~ <br /> Job~Address :mot- `I c~_ ~ f 1~-,~7'~-~ r~_;'"' ' <br /> ` ~ Operator <br /> F QUANTITY DESCRIPTION PRICE AMOUNT <br /> t <br /> r <br /> ~j a~t'3 <br /> ~ <br /> t.. <br /> ~j ~ r~ ~ N r. ~ !7J . T CODE AC AMOUNT , . . <br /> t i:.. <br /> ~ <br /> _ <br /> . ~ ~ ~ <br /> _ <br /> <br /> ( - s~? <br /> EXTM'S - CHANGE OfiOERS - STAN 8Y TMAE V ~ <br /> ` ~ ~ ~ ~'t <br /> ~ ~-2~ 4 b A06 ~ 06 ~ <br /> a ~ ~ <br /> We cb not asrurne responsibility fbr darnage caused by olFttng tuned . <br /> pipe, conduit,woids, steel beams, water.damage, percussran damage; ~ • <br /> I <br /> or asbestos abatement. <br /> ~~The undersigned hereby understands. and agrees to Emp(re _ ' - <br /> -Concrete Cutting credit conditions as .follows: <br /> t .Bills due and payable 10th of month following date of purchase. . - . - • <br /> ~ Past due bills charge at 2°k interest per month. ' <br /> Should ECC institute collection on this account, I will pay reasonable attorney <br /> °'~fees acrd costs incurredin the pursuit of collection including court costs sioMnn~ae _ <br /> `•~F44F'.~f(i~sF..An.i + .w F3'~:'~p'" t!€~'?F., r b ~ _ <br /> _ d <br /> <br />