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<br />CONTRACTORS INVOICE <br /> <br />FROM: GARY M. NICKS LIC#CCC057600 <br /> 3545 WILLIS RD. <br /> MULBERRY, FL. 33860 1-863-425-3996 <br /> <br />NO. <br /> <br />TO: <br /> <br />/. es ~r 1-. <br />0-<;'/3 .-<.j t!t s;. <br />I~'S Fi, 33sl/J <br /> <br /> <br />WORK PERFORMED AT: <br /> <br />5-'1/5 ~00f, <br />2Pfl)'fy)"J/S, Fief. 3 3 -5</ I <br /> <br /> <br />YOUR WORK ORDER NO, <br /> <br />OUR BID NO. <br /> <br />DESCRIPTION OF WORK PERFORMED <br /> <br /> <br />hv <br /> <br />c) "c- ~ <br /> <br />s <br /> <br />IS' <br /> <br />4-.) f} t/ <br /> <br /> <br />c <br /> <br />-v 75 d <br /> <br />All Material is guaranteed to be as specified, and the above work was performed in accordance with the <br />drawings and specifications p!ovided fO!i th. e above work and was completed in a ststantial workmanIike <br />mannerfortheagreedsumof Ill//) 7h~/1,~4h/1 ~,y JAIJ,,/rt"clS~t/e>/'J t..; r/ue Dollars <br />(~ ~J 7~ t?;:). . / / <br />This is a 0 Partial [i;!I Full invoice due and payable by: <br /> <br />in accordance with our ~ Agreement 0 Proposal No. <br /> <br />Month <br /> <br />Day <br /> <br />Year <br /> <br />Dated <br /> <br />Month <br /> <br />Day <br /> <br />Year <br /> <br />· E-Z CONTRACTORS FORMS FORM NO. EZ 122 <br />