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PLEASE PAY FROM ~ r Nation"s PLEASE PAY M <br /> - Nations THIS INVOICE i' ~ THIS INVO~. <br /> <br /> VO'~C a ` P.O. Box 8532, Coburg, OR 97408 ~ ~ 'NVO~~jE ~ ~ ~ P.O. Box 8532, Coburg, OR 97408 <br /> G Small Yardage Concrete (541) 683031 { Small Yardage Concrete (541) 686-303t <br /> °,f~ <br /> f A `r-_. i r'" Date ~l <br /> r ~ Date ~ J/ ~ t <br /> '1 i, i,~ rY..'6. , <br /> f ~^~Y _ % J r 1 <br /> ~ ~ Address ,;i i..-. ' i f <br /> ,f, .t~'•e ~.~!-f i P.O./Job# ,f' , .t ifr ~ { <br /> # ! i ~ t <br /> Quantity Description Taal <br /> amity Description Total ~ . <br /> ,t; - Yards c' r, <br /> Yards P.S.I ~f-•~~ ~ ~ ~ , I ~ 5 O f S P.S ~ ~ ~ _ G i; <br /> - <br /> ;harge C,u , ~a 1 ' ~.f:'l Mileage Charge Q ~G ~ S _ <br /> Tune ~J G G , stand By Time ~ ~~j ~ <br /> ~r ~ ~ ~ Overtime - ~ ~ ` _f `;f ' r'Jf) ~ <br /> x Ha water ~ <br /> Admixture: ~,l <br /> Slump j Air Content j % i. <br /> Air Content ~ 96 <br /> j i-' 1 <br /> ! <br /> ARRIVE LEAVE TIME ON TIME CHARGE <br /> LEAVE TIME ON TIME CHARGE JOB JOB JOB r <br /> JOB JOB l r` MINUTES ~ P, <br /> .t ~ c~ ~ : MINUTES TOTAL ~ `'a j ` C, ~ 4~-PER HOUR TOTAL r~~~ I I <br /> ..s i t ~ L~-PER HOUR 1 ! 1`` s { <br /> f. J <br /> j ! , r; ~ <br /> ft k ` ` l ~ j DETENTION OF TRUCKS AT THE BUILDING SITE I <br /> ` J DETENTION OF TRUCKS AT THE BUILDING SITE No craims r d~la'ys countered in delivery will be allowed as all deliveries are made to the best of our ability and <br />dispatch. i <br /> • defays'encouhtered in delivery will be allowed as all deliveries are made to the best of our ability and dispatch. _~f ~J _ i=ce _ ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> { <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY ' ~I. the undersigned;` will assume all responsibility for any damage where delivery is made inside of the curb. ' <br /> ~gned, will assume aN responsibiliry for any damage wirers delivery is made inside of the curb. WARNING ) <br /> WARNING Use of this product without protective clothing could cause bodily injury. Every effort should be taken fo avoid contact with skin. <br /> roduct without protective clothing could cause bodily injury. Every effort should be taken to avoid contact with skin. <br /> TERMS OF PAYMENT <br /> TERMS OF PAYMENT The balance is due and payable on Me 10th o/ the following month. After 20 days a IJITE CHARGE of 2.0 % monthly (ANNUAL t <br /> is due and payable on the 10th of the fallowing month. After 20 days a LATE CHARGE of 2.0°k monthly (ANNUAL PERCENTAGE RATE OF 24%) will be added to the unpaid portion of the <br />balance due. 1 agree to pay and/or guarantee payment of the j <br /> ;E RATE OF 24%) will be added to the unpaid portion of the balance due. I agree to pay and/or guarantee payment of the charges listed on this Invoice when due, plus any applicable <br />late charges. In the event of default of payment, I agree to pay reasonable t <br /> i on this Invoice when due, plus any applicable late charges. In the event of default of payment, I agree to pay reasonable attorney's fees and court costs incurred by Nation's <br />Mini-Mix Inc. including these reasonable attorney's fees and court costs incurred by <br /> u and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney's fees and couA costs incurred by Nation's Mini-Miz Inc. in any bankruptcy proceeding <br />in collection of the balance due whether or not action is filed in court. I agree that the ! <br /> Miz Inc. ,n any bankruptcy proceeding in collection of the balance due whether or not action is filed in court. I agree that the liability is being personally assumed by me unless <br />otherwise indicated below and this agreement does not constitute a release of liability. <br /> rg personally assumed by me unless otherwise indicated below and this agreement does not consldule a release of liability. By my signature below, acknowledgment and agreement <br />of the above is hereby made. <br /> ure below, acknowledgment and agreement of the above is hereby made. LIENS <br /> DENS Natwn's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all liens against purchaser and <br /> Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all liens against purchaser and third parties arising under all applicable federal, <br />state or local laws in the event the prices stated in this agreement are not paid when due. <br /> .rising under all applicable federal,s[~fe or local laws in the event the prices stated in this agreement are not paid when due. 2 <br /> I reviewed and approved a cornple{ed copy of this Invoice. ~ a/y''1~ OoZ ~ 3cJ I ~ <br /> .d approved a completed ~ o~Ihis Invoice. ~ ACCEPTANCE w I <br /> ACCEPTANCE ~ ~ 5 va 135~t Nation's Mini-Mix, Inc. agrees to`provx~e I ser~s and materials indicated on this Invoice. <br /> -Mix, Inc. agrees to provide ail sawices artdy~materials indicated on this Invoice. ~ ~ ~ <br /> i Nation's~tdini-Miz, Inc,' ~ ~ <br /> -Mix, Inc. i J <br /> ized agent ofj ' t`~'~~1./ ~ 1 1 am a authorized agent of ~ ~ Y <br /> .t f <br /> _r ~ 5S <br /> - - - ~~~3~ <br /> - - ~ <<. <br /> . _ <br /> + , e Signed - Dared ' <br /> Dated { <br /> <br />