New Search
l~si~ <br /> I ~ Nation's PLEASE PAY FROM <br /> ~ ~ THIS INVOICE, <br /> r <br /> ¦ ti c_ pp, Box 8532, Coburg, OR 97408 <br /> INV{OICE Small Yardage Concrete (541)686-3031 <br /> 1~~~~~ <br /> Date , <br /> Sold To f <br /> Address .a `A~.:1-` <br /> P.O./Job # ~ ' <br /> <br /> r pu~~y Description Total <br /> Yards P.S.1 <br /> Mileage Charge <br /> Stand By Time r <br /> i <br /> F OvertirT,e S _ 3 3~ 7 CAS <br /> Hot Water <br /> Admixture: ' <br /> Slump Air Content _ _ <br /> t ARRIVE LEAVE TIME ON. TIME CHARGE r <br /> { <br /> JOB JOB JOB ,r. MINUTES TOTAL ~ , <br /> ; <br /> ;T ylt:i C~ `PER HOUR <br /> f a ) DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for delays encountered iri delivery will be allowed as all deliveries are made to the best of our ability and dispatch. <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY ~ D1 <br /> I. the undersigned, will assume all responsibility for any damage where delivery is made Inside of the curb. 5~~~1 <br /> " WARNING <br /> Use or this product without protective clothing could cause bodily injury. Every effort should be taken to avoid contact with skin. <br /> TERMS OF PAYMENT <br /> The balance is due and payable on the 10th of the following month. Arier 20 days a LATE CHARGE of 2.0% monthly (ANNUAL s' n / <br /> PERCENTAGE RATE OF 24 will be added to thA unpaid portion of the balance due. I agree to pay andlor guarantee payment of the ~ ~~iJ ~ r+ <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of default of payment, I agree to pay reasonable <br /> attorney's lees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attomey's fees and court costs incurred by <br /> ~ Nation's Mini-Mix Inc. in any bankruptcy proceeding in cdlection of the balance due whether or not action Is filed in court. I agree that the RP"~ ~ . <br /> tt liability is being personally assumed by me unless otherwise indicated below and this agreement does not constitute a release of liability. <br /> By my signeWre below, acknowledgment and agreement of the above is hereby made. ~ ~ l <br /> k LIENS <br /> Nation's Mini•Mix Inc. Concrete Service hereby gives notice of its reservafion of the right to assert any end all li rchaser and ~ <br /> [ third parties arising under all applicable federal, state or local laws in the event the prices stated in this afire el~s /"en due. ~ II ~ ~ R <br /> t I reviewed and approved a completed copy of this Invoice. ~ ~ y~ <br /> ! -g / ACCEPTANCE /i <br /> ~ Nation's Mini~Mi~; Inc. apiees tc~~oyit(8~II services and materials indicated on this Invoice. e1~y, <br /> t ~ ( ~ "V fl'! <br /> ~ Nation's Mirif Mix, Inc. c.~` ° <br /> I am a authori d ag nl 01 y _ <br /> l~ <br /> Dated <br /> Signed <br /> <br />