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~2 <br /> ~,~u <br /> Nation's PLEASE PAY FROM <br /> - irM THIS INVOICE <br /> ' ~ P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE Small Yardage Concrete (54~)sss-303 <br /> Oate <br /> ~ ~ ~ <br /> Sold To ~ ° ~ r T <br /> Address 1 <br /> P.O./Job # Cam' f~;;~ ~f ~ ~d <br /> quantity Description Total <br /> t Yards P.S.I ~ S ~ ~ (~i3~D <br /> MOeage Charge <br /> stand ey Time Gam, / - <br /> overtime ~/Q 3 <br /> <br /> ~+r"" Ha water ~ O ~ d ~ ~'f r1 <br /> - Adrrlixlure: <br /> Slump Air~-o±ntent ~ ~ <br /> r <br /> ARRNE LEAVE TI TIME CHARGE <br /> MINUTES <br /> JOe J°B TOTAI; ~ ~ ~ . <br /> { ! ~ 3 ;a f ` ~ ~ L~(+'1-- PER HouR <br /> ` DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for delays encountered in delivery will be allowed as all deliveries are made tow ~f our ability and dispatch. <br /> ALL ORDERS ARE T-0R STREET CURD ' ~ u <br /> 1 I, the undersigned, will assume all responsibility for any damage where de1F• i <br /> t 1 <br /> WARN" r~ <br /> Use of this product without protective clothing could cause bod" v - ~ ~ yid contact with skin. <br /> t T* <br /> The balance is due and payable on the 1 fo, r ~ Fill~G of 2.0% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24%) will be add ~~on i. a b r guarantee payment of tM - <br /> chargea listed on this Invoice when due, plu J~ .,,e t of pay/ratt, l agree to paY reasonable <br /> attorney's fees and court costs incurred by N 's Mini-Mi di these s lees and coed costs incurred by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collec6 of that r t} filed In court. I agree that the <br /> liabikly is being personaly assumed. by me unless otherwise in s re s not constitute a release of kabilily. - <br /> ~ey my signature below, acknowledgment and a9reemeM of e ~~i ? <br /> Ll~ <br /> 1 '`r_ <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reser9etion of the ri9hl to assed any and all liens against purchaser and <br /> third parties arising under all applicable federal, state Or local laws in the evert Me prices stateSagreement are not paid when due. <br /> I reviewed and approved a completed copy of this Invoice. <br /> ACCEPTANCE <br /> Nation's Mini-Mix 1 .agrees to provide all services and materials indicated on this Invoice. <br /> Nation's MinFMix,- Inc. p 2-~ t~ - 0 4 A 1 1: 3 2 R C V D <br /> ' I am a alttwrized agent of <br /> r <br /> i _ <br /> Si9~ ~ - Dated <br /> <br />