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\ \ \ ~ J / ~ INVOICE NUMBER <br /> ` EMPIRE <br /> CONCRETE <br /> CUTTING INC <br /> t 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> ~541~ 74r~-8818 FAX: (541) 746-1149 CCB# 51754 <br /> r ~r T^r Date ~ ~ _ <br /> TO r ~ r! c U ` , : ' Day ~ K--' <br /> P.O. No. <br /> Pf <br /> Job No. ~~~r ' <br /> ~ , t <br /> ~ Operator t-% <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> j ~ r <br /> 3 <br /> 4 ;;1 ~ ~ ~ <br /> S Rape Dane a a~ i~ - i ~ ~ O ~~Q <br /> s ~3~5 ~ E V <br /> 7 ale? YES or ~ <br /> ( Z <br /> s <br /> COMMODITY CODE <br /> EXTRA'S -CHARGE OROERS -STAND BY TIME SIGNATURE ACCOUNT CODE CCOUIdT OUNT <br /> 10 <br /> 11 ~ <br /> 12 12-27-06 A06~06 IN <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 Empire • • • • • • • • ' • • ' • <br /> Concrete Cutting credit conditions as follows: ' • <br /> 1. BiAs due and payable 10th of month following date of purchase. • . . • . <br /> 2. Past due bills charge at 2% interest per month. <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 />