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~ y~.~ <br /> / ~C <br /> r, I~ INVOICE NUMBER <br /> EMPIRE ~ <br /> 2 CONCRETE ~ <br /> CUTTING INC ~ ~ ~ <br /> ' ~y"1 <br /> X541) 746-8818 1484 CHEEK STREET SPRINGFIELD, OREGON 97477 <br /> 12-29-fJ3 AO$ ~ 45 I N FAX: (541) 746-1149 <br /> Concrete Driliing - Wali Sawing Flat Cutting <br /> TO " 1 U Day ~ Date 1 ~ Pt ~ ~ ~ <br /> t s 1~~ l~ ~ ~i5\ P.O. No. <br /> Job No. <br /> r ~ <br /> Job Address ~ Operator ' 'L2 <br /> I <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> ~r C_ <br /> 1 ~?S ~ i ~ <br /> i <br /> y/z~ P l <br /> 3 I' I C1 f~' d C_ I D?J <br /> 4 l ~ , <br /> f <br /> s ~t O ~ i bID <br /> e_ <br /> rS J I ~ <br /> <br /> ID EXTRAS • CHANfiE ORDERS • TANry ~Y_TIME SIG TORE ~ f\ I ,C7t~ <br /> 1 ~ (T(~ ~J~' (.l <br /> i <br /> 2 ~ 1 <br /> do not assume responsibility for damage caused by cutting buried pipe, conduit, ~ {!C~ <br /> 1s, steel beams, water damage, percussion damage, or asbestos abatement. THIS wl~~ AcKNOw~EDCE RECE1Pr of <br /> THE ABOVE SERVICES AND(OR SUPPLIES <br /> undersigned hereby understands and agrees to Empire Concrete OFD OIS TICKEITN NOTICE AS OF DATE <br /> Ling credit conditions as foltowsa=. , <br /> ills due and payable 10th of month following date~of purchase. i„ ; <br /> ast due bills charge at 2°l° interest per month. sIGNATURE <br /> hould Empire Concrete Cutting, ~ stitute coliectionron this account, I will pay reasonable attorney fees and costs incurred in t pursuit of collection, including <br /> curt costs. , < ~ ~ . ~ ~ ~ ~ 33 ~ q~ S ~U2 , <br /> <br />