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M,,, <br /> ~ \ 1 I I I / / ~ INVOICE NUMBER <br /> ' EMPIRE _ <br /> t if', <br /> CONCRETE ~ ~ 1 ~ <br /> CUTTING INC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> (541) 746-8$18 - FAX: (541) 746-1149 CCB# 51754 i <br /> r <br /> TO - ~ ~ ~ c. tJC.. Day " ~ I Y ~ ' - ~ iDate i - i ~ . J <br /> 1 Job No. <br /> ~ - , <br /> .Job Address l I ~ l-~.~~!~ r~~` ! ~ ~ I ~t~>-~~ - Operator ill <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> 4 ~ ~ 4f" r~ 1 lY ~ ~ 7 <br /> J <br /> s ~f~ ~ I r~~ <br /> 9 <br /> E7fTRA'S - ROE ORDERS -STAND BY i1ME 7UR <br /> iii... ""'lll <br /> t ~ ( ~Ci~s !w ~ <br /> 12 <br /> 1 <br /> We dq not assume responsibility for damage caused by cutting buried 0 2- + - J 5 A 0 ! ~ 31 R C V D ~ . <br /> pipe, conduit, voids, steel beams, water damage, percussion damage, <br /> or asbiestos abatement. • ' <br /> . . <br /> <br /> The undersigned hereby understands and agrees to Empire • • - - <br /> Concrete Cutting credi# conditions as follows: ' • • <br /> 1. Bills',due and payable 10th of month following date of purchase. <br /> <br /> 2. Pastl, due bills charge at 2% interest per month. <br /> <br /> 3. Shouild 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 /> _ IGNA E <br /> - <br /> <br />