1 <br />~S <br />. <br />i ~ t I ~ i <br />.GaR~ ~uRN~r ~~~T~~~~r~u~,. ~~.. <br />47 ~o ~~~-~o~ ~~g~ <br />,, P.O. Box 5 <br />Eugene, Oregon 91401 <br />~C~ <br />Phone: T~fi•117fi ~ . <br />~ ~'~$ ~ <br />OUR NUMBER <br />Contractor ~ <br />or Em fo er ~-~ ~ ~ ° ~~ <br />p y N° ~~~ 0~ 3 ~~ <br />i <br />Address ~ <br />DATE ~, <br />c:ty . ,. ~ ~, ~ ~ <br />~4 ~ ~ <br />Job Location UST4MER'S ORDER <br />Time ~ Time OPERATpR ' <br />Started Lunch. Finished~~ <br />~ ~.. 1'' !~. ~(~ ~ ~ TERMS <br />DATE DESCRIPTION AMOUNT <br /> MOVE CHARGE <br /> i~c~. o ~C.Oa~ ~ I1 ~ <br /> C~ i 5 ~ o J`~S ~'C~ Ml. i ~O l "'"'~ <br /> <br /> TOl" ~ ~ 'v <br /> O~Ih~.~ o~ o~ <br /> <br /> <br /> <br /> <br />i <br />4 <br />k <br />~ r" Gr/ <br />. ~ ~~~ <br />This account due and payable on the 10th day of the month following the date hereof. <br />The parties expressly agree by their signatures hereto that interest shall accrue at the rate of 10°/° per <br />annum on all past due accounts. <br />If this account is placed in the hands of an attorney for collection the ContraetorlEmplvyer agrees to pay <br />Sub-ContractorlEmployees reasonable attorney fees and collection costs. even though no 'suit or .action is filed <br />on this account, however, if suit or action is filed, the amount of such reasonable attorney fees shall be fixed <br />.... by the court.. . <br />A lien may be claimed far labor, materials, rentals, and reasonable profit under Oregon Revised Statutes, <br />Chapter 87'. <br />Contractor! Employer Representative acknowledges receipt of copy and signifies same to be correct by his <br />signature below. <br />Signature <br />