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~ rr ~ / ~ INVOICE NUMBER <br /> EMPIRE <br /> CONCRETE ~ ~ ~ j <br /> CUTTING INC - ' <br /> 1.484 CHEEK STREET SPRINGFIELD, OREGON 97477 ' <br /> ,;51,41) 746-8818 FAX: (541) 746-1149 CCB# 51754 <br /> 'TO T ,_j 4 ;~~p ~ 4;~ ~ ~ ~ Day ~ Date ~ ' 3 - o c~" <br /> ~ ~ P.O. No. <br /> z <br /> ~~y~ Job No. `'t~ i ~ ~ f <br /> Job Address z r ' • +In ~ Operator 1.~ ~g <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> 1 ~ ~ ~ t ~ ~ ~ ~ ~ a'~ ~ i, L i ~ t~ <br /> r, <br /> 3~( b`~ jy l <br /> 4 <br /> ~ _ ~'u( .~~r ~ ~ ~ Oonfr Nod <br /> - t ft~$®aulb <br /> r ' <br /> . <br /> 'S ~ CFIARGE OR r STAND BY TIME SIGNATURE , <br /> 1 , r. <br /> 12 {~r"i <br /> <br /> We d4 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 /> <br /> The u~tdersigned 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 /> <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 <br /> <br />