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,..~'1 ~ I I I l// ` INVOICE NUMBER <br />~ ~ <br />-_. . ,~ <br />: <br /> <br /> <br />; <br />. .. . .. :::` . . ~ <br /> <br />EMPIRE ;: <br />CONCRETE <br />. <br /> <br />, <br />~ . . . . , <br /> <br />. <br />~ ^ ~ <br /> <br /> <br />~ \ <br />.. ~ ~ ~ .. ..~ c .~ . ~ <br />-~ <br />; <br /> <br /> <br />. <br /> _ <br />CUTTING INC <br />: <br /> ` 1484 CHEEK STI~EET .. SPRINGFIELD; OREGON.97477. <br />- " <br />. (541) 746-8818 " <br /> <br />~ <br />FAX: (54~ ) 746-1149 CCB# 51754 :. <br />, <br />~ <br /> <br />~ <br />~ <br />~ <br />TO , <br />. .. , Day. . <br />Date ~ ..~ .( <br />j <br />~ -`~ i~ ~ - ~`p ! ~ ,. fr ~„ ~.E ~Y <br />G .. P <br />O <br />No <br /> . <br />. <br />. <br /> Job No 1 <br />/~ ~ // . <br /> <br />Job Address 7 ~~ <br />~ ~ '~" ~~~/7~J/~ h.~ <br />Operato[ ! (' -- / <br />~ ~~i <br /> <br />~QUANTITY <br />' n ~I r.~.c D E S C R..1 P T.I O N <br />PRICE ~- <br />AMOUNT <br />~ // ~'f ii C'C . <br />1~~ ~ o~CC~ . DO <br />2 r ~ <br />~~ 9 <br />3 <br />/'u G. ) <br />4 ._ ~ 1 ~ ? ~t C ~- t <br />5 ~ / , <br />Cit'~~r ~~ . <br />. V ' . , ~ ~ ~ ~ . . <br />.7 ' ' . . . . ' . , <br />. 8 ' ; . ~ ' . . . . : . . <br />9 - <br /> <br />1,Q EXiAA'S - CHARGE ORbERS - STAND 8Y i1NE . SICd~IAATURE <br />. Cd <br />, .. <br />i1 . . <br />12 .. <br />,. , <br />We do not assume responsibility for damage caused .by cutting buried ' <br /> <br />pipe <br />:oonduit <br />void <br />steel beams <br />water d <br />r <br />i <br />e <br /> <br />r. <br />~`~ <br />; <br />, <br />s;. <br />, <br />a.mage, pe <br />cuss <br />on damag <br />,. <br />~r asbesfos ~batement. , • -•• - - • • .•• <br />-.. . . .. ~ <br />The undersigned hereby unders#ands and agrees to Empire ~ • • - . ... .. - -. - <br />Concrete Cuttin credit condittons As follows: • • - • • ~ - • - - - • • <br />9 . <br />; <br />I. ~ills due a~d.payable TOtFi of month foltowing date of purcha'se: ~ . ~ ~ . , ~ ~ ~ _ , ~ <br />?. Past due tiills charpe at 2% interest oermonth. <br />. . ~ <br /> <br />~ . <br />. <br /> <br /> <br />~ ~ _ <br />3. Should ECC inatitute collection on this acCOUnt, I w01 pay reasonable attorney .' <br />fees and costs incu~red in the pursulf of collectian, including court costs: s~Nl <br /> <br />• . . . ~• i~~~3~~~1~ <br />: . . _ ~3~ - a~~~.- ~ . .~ <br />-~ ~o ~~ o ~ ~ ~ ~~ <br />b <br />