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~ Nation "s PLEASE PAY FROM <br /> 4 ~~~Y THIS INVOICE <br /> ¦ ti c_ P0. gox 8532, Coburg, OR 97408 <br /> ~~V~~NE Small Yardage Concrete (54t)t~86-3031 <br /> <br /> 7 ` _ <br /> - Date / f .r_a~ •.,i' <br /> Sold To .f'' ~ ' i'~ ' ~ !-f ~ <br /> ~ ~ . <br /> E Address - ' <br /> P.O./Job # r s I ~ t`';'i~ <br /> ~ Quantity Description Total <br /> ~ ~ Yards P.S.I . , t~„ - t <br /> Mlleaye Charge ~ .t - r r - '-%P F-~' ~ , <br /> I Stand gy Tirne ~r <br /> t <br /> overtime ~ 1 /+ti <br /> Hot Water ~ ,3 <br /> Admixture: <br /> t Slump ~ _ ~ Air Content j ~ % <br /> ARRIVE VE TIME ON TI1~1~ CHARGE <br /> JOB JOB JOB _~.,,c---~-- ! ~ j ,r`5_ <br /> _ MINUTES TOT " <br /> DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for delays encountered in delivery will be allowed as all deliveries era made to the best of our ability and dispatch. ' <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> I. the undersigned, will assume all responsibility for any damage where delivery is made inside of the curb. <br /> WARNING <br /> Use of 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. After 20 days a LATE CHARGE of 2.0% monthly (ANNUAL <br /> - PERCENTAGE RATE OF 24q) will be added to thA unpaid poAion of the balance due. I agree to pay and/or guarantee payment of the <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 fees and court costs incurred by Nation'sMini-Mix Inc. including these reasonable attorney's fees and court costs incurred by <br /> Naton's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action is filed in court. I agree that the <br /> liabil0y is being personally assumed by me unless otherwise indicated bebw and this agreement does not constitute a release of liability. <br /> By my signature below, acknowledgment and agreement of the above is hereby made. <br /> LIENS <br /> Naton's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all liens against o~ ; <br /> j third parties arising under all applicable federal, state or local laws in the event the prices stated in this agreement are no <br /> I reviewed and approved a completed cry of this Invoice. / <br /> - ACCEPTANCE <br /> III Nation's Mini-Mix, Inc agrees to ~r~jl~serv~ges and materialsdndicated-or) this Invoices ~ <br /> r <br /> Nation's Mini-Miz, Inc. <br /> a - <br /> I am a authorizefl'agent of <br /> L <br /> Si ated <br /> <br />