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Dec. 6. 2011 2:11PM American Concrete Cutting <br />. AMERICAN <br />�� CONCRETE CUMM <br />32900 ROBERTS COURT <br />COBURG, OR 97408 <br />PHONE: 541- 726 -8597 , FAX: 541 - 726 -8146 <br />3 3 o l <br />tw 1'k MG, <br />c <br />No. 7489 P. Z — <br />INVOICE <br />49426 <br />S4'�ufa -o AX <br />r• s <br />O: ADDR <br />1 q A1.1 <br />1 <br />" ,- <br />art <br />L) Less �✓V- <br />1," .� h -ri ot 1 4S2- ;s1 <br />c r <br />We do not assume responsibility for damage caused by cutting buried pipe, <br />conduit, voids, wood, steel beams, water damage or percussion damage, <br />THIS WILL ACKNOWLEDGE WEPT PT OF THE APOVE SERVICES ANDIOR SUPPLIES AND OF THE LIEN NOTICE AS OF DATE OFTHIS TICKET. <br />I to due and peyade on die 1011 of the month M wN dated purchase. Any bill riot p A when dua wilt noaue a late payment Ice of i'Mo pet month from the dare d purchase until paid <br />9r any payment is not paid when due, are may employ an apomey for purposes oloo kOm, and in auch oved, you shall be Nebte lot our MW W fee- It any 411gaion IS tesdiuted lo anwee payment, we <br />Ad be *AW to recover from you, In addition to cods and disbar emeros allowed by law, such sum as No Cant mry a4udge as aAWMy rasa to the iipauon. kmWing appoala IhOWM <br />COSTS AND ATTORNEY FEES. to dro neat Satter or Pumbaser 8W lake any notion, Juddal a dhwWw, to <br />tokme or Wsprot any d the hrme of Ws conhid On Wevalitp pally shall be entlled to tewor from Ire other <br />putt' an s panees which they may reasonably ktcur in Witirg auch aodon, indudi g but ra RAW to costs ktcmad <br />and swww Ins, whedter WKvmd to a slnl or action or appeal trap a lucI menl or dmm dream of In commotion <br />wM a noryudi W action. SIGN HERE OATS <br />Ro ute <br />To No <br />(O nv Ma• <br />YES o r <br />GO sabWl n A <br />Asses this for <br />Z - <br />Signature <br />