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~ 1 1 L I I//~ INVOKE NUMBER <br /> ' EMPIRE - <br /> CONCRETE - ~ ' <br /> _ CUTTING INC <br /> 1484 CHEEK STREET ~PRIN~FIELD, OREGON 97477 <br /> (541) 746-8818 FAX: (541) 746'1149 ~CB# 51754 <br /> <br /> _ TO f ~ Day ,I?~' Lei Date -:~'t it ~ <br /> f <br /> Job No. 1 ~ <br /> Job Address,~~i f~ ~~S ~ ~ ~ 7,~. Operator ~ C.. y <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> ~ I E t <br /> a.. <br /> { <br /> 2 `raj ~ ~ It! ~ <br /> 1 / , <br /> 3 f bt <br /> 4 <br /> t l ~ ~ ` and i <br /> i c~"~ <br /> 6 I <br /> ~ r" <br /> " _ 12-27-J6 A06~d5 <br /> s _ ATE f Z~ ~ to a a <br /> ~Q E t)E ~ : UN~ ATURE <br /> t t ACCOUNT- CODE ACCOUNT AMOUNT ASS8SS8b18~ YES Ot <br /> 12 - ~ <br /> - $ ~ <br /> We do not assume respo`fisl I I - or a age cat.fs~3by`~utting' buried . <br /> pipe, conduit, voids, steel beams, water damage,. percussion damage, ~ _ z _ <br /> or asbestos abatement. <br /> The undersigned hereby understands and agrees to Empire ' - ' • • - <br /> Concrete Gutting 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% interest per month. , <br /> 3, Shou{d ECC institute collection on this account, I will pay reasonable attorney ~ -t n . ~ ~ <br /> fees and costs incurred in the pursuit of collection, including court costs. rte- ' <br /> SIGNATUR /~l <br /> - ~ - - - - <br /> <br />