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\ \ ~ ~ ~ ~ / / ~ INVOICE NUMBE <br /> EMPIRE - ~ ~ r <br /> r i'. % { i' t <br /> CONCRETE s <br /> CUTTING INC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> f~~) 746-881.8 FAX: (541) 746-1149 ~CCB# 51754 <br /> TO i r ~~w Day Date C'~ <br /> L4~ ~ ~ 1''u{,~„ Job No. ~ ~l~ `j ~ y :l.a. <br /> Job Address. o~ 1~+, ~ Oa.t~ Operator ~~e-i trrt.~ <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> ~ ~ <br /> 1 r~~ ~ ~ <br /> 'fi t` n <br /> i <br /> 4 <br /> _ d®b Nn. <br /> s <br /> r - Aa <br /> ~ ~ <br /> 9 <br /> E~(TRA'S - CNAROE ORDERS -STAND BYTIME `SIGPIATURE <br /> i ~ <br /> 11 : , <br /> 12 ~ - <br /> { <br /> We do not assume responsibility for damage baused by cutting buried ~ ~ 'i GSL~ <br /> <br /> pipe,.., conduit, voids, steel beams, water damage, percussion damage, <br /> . <br /> or asbestos abatement. <br /> The undersigned hereby understands and agrees to Empire • <br /> Concrete Cutting 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. 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 /> SIGNA RE <br /> <br />