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1 1 i l 1// INVOICE NUMBER <br /> ' EMPIRE - ~ - <br /> CONCRETE `'rn <br /> r., 't <br /> CUTTING INC <br /> 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> ,541) 746-8818 FAX: (541) 746-1149 CCB# 51754 <br /> TO Day .~r._s~~ Date ~ ~-vb <br /> a <br /> ~y-l - - - - - P.O. No. <br /> ~ ~i ~ , t ~ Job No. ~ ~ ~ Gi ~'-4 <br /> Jiob Address . Operator <br /> iQUANTITY DESCRIPTION PRICE AMOUNT <br /> ~ 4 4J <br /> 2 6th yc! t <br /> y <br /> 3 <br /> s ~ ....~k;i.~? YE3 c; <br /> l3 ~NITIAL~----- <br /> 9 <br /> EXTRA'S • CHARGE ORDERS -STAND 8Y TIME SIGNATURE <br /> i0 <br /> 11 <br /> C <br /> 12 <br /> We dq not assume responsibility for damage caused by cutting buried f <br /> pipe, conduit, voids, steel beams, water damage, percussion damage, <br /> or asdestos abatement. ' <br /> . <br /> The uhdersigned hereby understands and agrees to Empire - ' • • <br /> Concrete Cutting credit conditions as f~L'ows: • <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 /> <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 />