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\ 1 1 1 a ,f: / <br />INVOICE-NUMBER <br />` <br />EMPIRE <br />CONCRETE . <br />J <br />_CUTTING INC <br />1484 CHEEK STREE f SPRINGFIELD, OREGON 97477 <br />(541) 746-8818 <br />FAX: (541) 746-1149 CCB#.51754 <br />Day )e- d ` Date tG (23 O <br />P.O. No. <br />Job No. <br />' <br />.Inh Address <br />Lf, <br />le t <br />Operator <br />OUANTITY- <br />' D E S C' R 1 PT ION <br />PRICE <br />AMOUNT <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />g <br />- <br /> <br />Earwa-cNARGE oRDERS-STAND SYTRtE SIGNATURE <br />- <br />10 <br />11 <br />- .12 <br />sume responsibility for damage caused by cutting burled <br />We do not a <br />s <br />pipe; conduit, voids, steel beams, water damage, percussion damage, <br />or asbestos abatement. , <br />The undersigned hereby understands and agrees to. Empire <br />The <br />Cutting credit conditions as follows: <br />1'. Bills due and payable l oth'of month following date of purchase, . • <br />-2 Past due bills charge at 2% Interest per month. - i <br />^ Should ECc institute collection on this account. -I will pay reasonaNe attorney <br />n d costs Incurred In the ;pursuit of collection, irrcluding court costs. . <br />SIGNATURE <br />