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-~'T/ ~ INVOICE NUMBER <br /> EMPIRE T • _ - s : ; <br /> • <br /> ' ~ CONCRETE ~1 -J_ ~ , ~ F f <br /> CUTTING INC <br /> 1484 CHEEK STREET. SPRINGFIELD, OREGON 97477 <br /> (541) 746-8818 FAX: (541) 746-1149 CCB# 51.754 <br /> <br /> _ TO !~'~~1:: ~E S~~'3~\,r )~st'~c-=~ Day 4 Date ~-,~:lr~< <br /> •r <br /> , <br /> Job Na. f •rF' <br /> 1 i <br /> .Job Address `~f~Y,~, 4~ , t <.I_ ~.~.r~x;ts~ Operator .F=: fr~_~% <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> ~ - ~ <br /> 2 ~ - ~ ~ ~ i . <br /> 3 <br /> EXT A S - GE O DERS -STAND BY TIME SIGNATUR <br /> 10` <br /> < . <br /> 11 / ~ J -r <br /> 12 ~ ~ ~ ~ / <br /> We do not assume responsibility for damage caused by cutting-buried ~ ~ ~ . - <br /> pipe, conduit, voids, steel beams; water damage, percussion damage, - - <br /> or asbestos abatement. " ' ' • • ' • - ' • <br /> The undersigned 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. f <br /> 3. Should ECC institute collection on this account, I will pay reasonable. attorney s <br /> fees and costs incurred in the pursuit ofcolrection, including court-costs.. ~ f <br /> f : ~ <br /> SIGNATUF~ , u'` ~ ti <br /> <br /> _ _ _ _ ~ . 3 <br /> <br />