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J I s{ <br /> _ ~ <br /> Nations PLEASE PAY FROM Nations PLEASE PAY FROM <br /> __Y ~ THIS INVOICE ~ ~ THIS INVOICE <br /> P.O. Box 8532, Coburg, OR 97408 ' ~ ti P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE Small Yardage Concrete (5ai) 68s-3o3i INVOICE Small Yardage Concrete (541)686-3031 <br /> .sue ~ ~..~r~(~ <br /> ate ~ !.s ~ _ Date "cam <br /> Sold To ,t Sold To <br /> .-~r~. <br /> Address ° t Address <br /> P.O./Jot J <br /> Quantity Description T / ~ Quantity Description T~-~~~° <br /> Yards P.S.I •s ! ~ ~ ~ Yards P.S.1 ~ , ''r ih <br /> Mileage Charge ; _ r Mileage Charge <br /> Stand By Time 0 ~ ~d <br /> Stand BY Tin'}er ~ f <br /> rn,e~rr,e ~ f: OveltimB ~ - q Z - b !CK - 9 75as <br /> Hot Water Hot Water <br /> Admixhire: ~ ~,c ~ ~ ^ ~~~k / / SO Admixture: <br /> t. ~ <br /> Slump Air % I ; Slump Air Content % <br /> ji= , <br /> ARRIVE LEAVE TI TIME CHARGE t ARRIVE LEAVE TIM TIME CHARGE <br /> JOB JOB JOB TOTAL s JOB JOB JOB <br /> MINUTES r ~ ~ PER HOUR TOTAL ~ ~ ~ <br /> ~ ? . ~-PER HOUR . ~ : LJ'G.i <br /> .,rryy. 1 ~y~''' r~ +y <br /> ~f ~~~l~/"~ DETENTION OF TRUCKS AT THE BUILDING SITE ~ t /rte lC.~ DETENTION OF TRUCKS AT THE BUILDING SITE , <br /> No claims for delays encountered in delivery will be alowed as all deliveries are made to the best of our ability and dispatch. ~ No claims ford ~ntered in delivery <br />will be allowed as all deliveries are made to the best of our ability and dispatch. <br /> ,1LL ORDERS ARE FOR STREET CURB DELIVERY .ltJ_ ORDERS ARE FOR STREET CURB DELIVERY <br /> I, th ed, will assume all responsibility for any damage where delivery is made inside of the curb. I. the undersigned, will a de inside of the c I <br /> WARNING ~ iIV WARNING ~GuGENF I <br /> Use this Use of this roduct without ffoll§§~~11~~ cl ~ ' ' Eve effort should be o avoid cpgta Moths ' <br /> ery effort should be taken to avoid contact with skin. i_ P P ry ~i' <br /> vV TERMS OF PAYMENT n eT~i TERMS OF PAYMENT ~ ~J <br /> The balance is d119yeh~° n,° "^"'""'^g month. After 20 days a LATE CHARGE of 2.0% monthly (ANNUAL j~ The balance is due and pa ~Qll~.flt the tollowina month. <br />After 20 days a IATE R2q% onthly(r~ NUAI <br /> PERCENTAGE R )will be added to the unpaid portion of ttre balance due. I agree top ntee payment of the ~ PERCENTAGE RATE OF 245 to the unpaid portion of <br />the balance due. I agree t ~ or,ygY~antee pay of the i <br /> charges listed on hen due, plus any applicable late charges. In the event of defau pay reasonable . C charges listed on this Invoice ny applicable late charges. <br />In the event'of default ym~jtfgree to pay noble ' <br /> l ~'gnd <br /> attorney's fees an ou cos nc. including these reasonable y s fees and R sts incurred by i attorney's fees and court costs c e ~ .+neluding these reasonable <br />alto y's fe wurt cost « <br /> ed by <br /> Nation's Mini-Mix Inq tcy proceeding in collection of the balance due whether action is ~ in court. gree that the C Nations MinFMix Inc. in any bankruptcy <br />proceeding in collection of the balance due whether or not ion is filed in court that the <br /> «;du~ „py me unless otferwise indicated bebw and this a does rfaph rele of liability. I; liability is being personally assumed by me unless otherwise indicated <br />bebw and this agreement does t pyW,a of liability. <br /> liability is being pe 9 0~'_ ~UGt' ' <br /> ey my signature below, acknowledgmen agreement of the above is hereby made. _ ~ ey my signature bebw, acknowledgment and agreement of the above is hereby made. <br /> LIENS V ~ i LIENS ! <br /> Nations Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to rt and all liens ago' rchaser and ~ ~ Nation's Mini-Mix Inc. Concrete <br />Service hereby gives notice of its reservatbn of the right to assert any and all liens against purchaser and <br /> third parties arising under all applicable federal, state or local laws 'ur the event the paces slat in this agreement are id when due. ~ f third parties adsing under <br />all applicable federal, state or local laws in the event the prices stated in this agreement are not paid when due. <br /> I reviewed and approved a completed copy of this Inooice. /O/ ,~L,~Vw\ 1 reviewed and approved a completed copy of this Invoice. ~ ^ <br /> Nation's Mini-Mix, Inc. agrees to provide all services m Is indicat Q Nation's Mini-Mix, Inc, agrees to provide all serv: indkaLl~Q~v;Y~s~tyice . <br /> By Nation's Mini-Mix, Inc. <br /> - ..-fy- <br /> <br /> -_Natiods_Mioi-Miu..Jns~. .+,-r. yi !,%f.' -_-.___._r~ ~ - ~ { <br /> I am a authorized agent of I am a autfadzed agent of ~i ~ ' <br /> i <br /> Signed Dated Signed rlafwrt ' <br /> <br />