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~ ~ I ~ INVOICE NUMBER <br /> j <br /> ` ' EMPIRE r>> ~ ' ' ; <br /> CONCRETE ~ ~ <br /> CUTTING INC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> '541) 746-8818 FAX: (541) 746-1149 CCB# 51754 _ <br /> TO , ~ . ~ ~,i Day ~ ' Date <br /> ~ P.O. No. <br /> Job No. ~r ~ <br /> ir~' <br /> Job Address ~ Operator <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> 4 <br /> _ , <br /> 5 <br /> 6 To' <br /> cc <br /> 7 COfitf Np ~CG~V~N~ ~ fL/2~~i ~ ~r . r <br /> -1 improve this for ~s>it. ~ Z$ G <br /> i~ESCR•FTION <br /> EXTRA'S -CHARGE oROERS - sTANO BYTIME SIGNATURE CC)N;MODITY COL` <br /> 1 CCOUNT MOUNT <br /> 11 _ - <br /> 12 <br /> <br /> We do not assume responsibility for damage caused by cutting buried ~ ~ ~ <br /> pipe, conduit, voids, steel beams, water damage, percussion damage, <br /> or asbestos abatement. <br /> <br /> The undersigned hereby understands and agrees to Empfre - ~ ' ' <br /> Concrete Cutting credit conditions as follows: ' <br /> 1. Bills due and payable 10th of month following date of purchase. . , . 1 ~ <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 the pursuit of collection, including court costs. - - <br /> SIGNATURE <br /> <br />