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'~ ~• <br />~ ~ -. ~ <br />""~"~ -" P.O. Box 216 <br />s~lar~rrg rn: Cheshire , OR 97419 <br />Commercial • lndustrlat • New Construction <br />(541) 913-8447 <br />Resrdeniia!lRemndels <br />pir Plping • Medical Gas • Natural Bas Lioensed • Bonded • Ensured <br />GCB#176744 <br />TO: <br />inn-oicE <br />N° 8~ 48 <br />PHONE <br />..~ pl~iF,OF <br />~ <br />ORDER TAKEN R1' CUSTOMER'S ORDER NUMBER <br />^ CASH ^ CHECK ^ CREDIT CARD <br />JOti LOCA7[ON , V ~ <br />a <br /> <br />JOB PHONE STARTiNQ DATE <br />QTY. MATERIAL PRICE AMOUN T DESCRIPTION OF WORK ,. <br /> <br /> <br /> <br /> <br /> 4 <br /> <br /> <br /> <br /> OTHER CHARGES <br /> <br /> <br /> <br /> <br /> V ~* E it X 1 1 ~ Q~i~VI ~ <br /> TOTAL O THER <br /> LABOR HR5. RATE AMOUNT <br /> ~q 2~ <br /> n <br /> ~~ <br /> <br /> .~ ~ ~ ~ ~~ ~ <br />~ <br />~ ~ k- ~ ~~ <br /> g <br />~ <br /> 4"""~'~'"~" <br /> <br /> <br /> TOTAL LABOR <br />BATE COMPLETED <br />TOTAL MATERIALS <br />i~ TOTAL MATERIALS <br />WORK ORDERE6 BY • TOTAL OTHER <br />SIGNATURE ~ O W' TAX <br />i hereby acknowledge the satisfactory complelbn of the afoove desalted work. <br />Oregon law requires us to Inform you that It this bill Is not paid when due we have the TOTAL <br />right antl intent to file a IaDOr and material lien. <br />TERM , ~J~ (4~~ <br />