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...-».n;;, ,~,~,vyz, EK <br /> r:?'srat`".?K"= ~ _ .'c-^. . dc~t+ts^ a - - <br /> -y- .T <br /> i <br /> i . ~ ~ . • . , . °I~LEAS~PAY FROM <br /> Nation s <br /> THIS INVOICE <br /> ' P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE Smatl Yardage Concrete (541)686-3031 <br /> ~ -Z6 <br /> / ~~,t/,fp~f„~ Date ~ ti <br /> Sold To L/j l/ _ _ <br /> Address~Lj <br /> P,O./Job # Q ~ ~ <br /> Quantity Description O ~T'total <br /> Yards ~ P.S.I ~ ,~.~f ~ 1 ~ <br /> <br /> . M11eageCharc~e - <br /> Stand By Time Q ~ TZ7 <br /> - 33 ~ - <br /> HotWater <br /> Admixture: <br /> r Slump 5 Air Content 4 f % <br /> 4 <br /> f <br /> ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JoB TOTAL ~ Z 7 <br /> ~r MINUTES <br /> ~-PER HOUR <br /> Z y y ~ ~ ti DETENTION OF TRUCKS AT THE BUILDING SITE <br /> ( No claims for delays encountered in delivery will be allowed as all deliveries are made to the best of our abiliiy and dispatch. <br /> aLL ORDERS ARE FOR STREET CURB DELIVERY <br /> 1. the undersgned, will assume all responsibility for any damage wt~~ delivery fs made inside of the curb. <br /> WARNING <br /> Use of this product without protective clothing could cause bodity injuly. Every effort should be taken to avoid contact with skin. <br /> TERMS OF PAYMENT <br /> The balance is due and payable on the ilxh of the tollowkrg month. AHer 20 days a LATE CHARGE of 2.0% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24%j will be added to drA u ron of the balance due. I agree to pay and/or guarantee paymeni of the <br /> charges listed on this Invoice when due, plus any {~li~l~ee ch~iges. In the event of defauR of payment, I agree to pay reasonable <br /> attorney's fees and court costs incurred by Natj~Mmr-Mix Inc. including these reasonable attorney's fees and court costs incurred by <br /> Nation's Mini-Mix Inc. in any bankruptcy prose rn collection of thelbalance due whether or not action is filed in court. I agree that the <br /> liability 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. ~ OO~ ry~~ <br /> DENS W <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to asserrahy and all liens against purohaserand . <br /> lhmd;parties arising under all applicable federal, state or local laws the {yi es 4 l in thi m e d en due. <br /> I reviewed and approved a completed copy o1 this Invoice. / <br /> ff~~ ACCE ANCE ,,r~eed~ <br /> F' Nation's Mini-Mix, Inc. agree provide II se s anlf materials indicated or>~1 G/ 0 <br /> By <br /> Nation's Mini-Mix, Inc. <br /> ' I am a authoriz a nl <br /> ' ` Signed Dated <br /> K <br /> <br />