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_ _ ~Z~ <br /> Nation"s PLEASE PAY FROM ~ Nat/On 5 PLE PAY FROM <br /> nr THIS INVOICE ~ ~ Ti...i INVOICE <br /> . nr c_ . ti <br /> P.O. Box 8532, Coburg, OR 97408 P.O. Box 8532, Coburg, OR 97408 <br /> N V ICE Small Yardage Concrete (541) ses-3031 ~ INVOICE Small Yardage Concrete (541)686-3031 <br /> Date ~ ' ~ ` Dafe ~ ~ <br /> f _ . ~ _ f r1 <br /> Sold To ~ , Sold To Q.-,~=~ rte. , _ <br /> Address ~ 1.. y" f Addre ~ . r'~y ? <br /> - <br /> Duantity -.---.-...pe~~~..__.__.: OuantitY' _ _ _-Description ,Total <br /> ~ ~~r Yards P.S.I ~ ~ Yards E=~ P.S.I~~..! 1- ,..y.~~~> <br /> f ~ <br /> Mileage Charge Mileage Charge <br /> Stand By Tune ~ _ ~ ~ 5 ~ Stand By Time . <br /> ~•I <br /> overtime 3Z~ ' ~ ~ 3~ • D 5 Z 3 2- overtime Z I • ~ ~ ~ ' Cj to ' Oej Z ~j Z <br /> Hot Water L Hot Water <br /> Admixture: $ • ZGj " a 3 Admixture: $ • ~ - D 3 <br /> <br /> ' Slump ~P"' Air C erlt % ~ Slump C'` • Ai~r1~~ % <br /> ~r <br /> _ / J~ <br /> 9' <br /> /,l~r <br /> ARRIVE LEAVE ,ZU~EdN' TIME CHARGE ARRIVE LEAVE - SIAAE~OHI"- TIME CHARGE <br /> JOB JOB JOB TOTAL _ JOB JOB JOB <br /> ~ MINUTES TOTAL <br /> 6 PEA NOUR i r r i ~~„s~' MINUTES r..~' i <br /> ~ ' ,rr . % ,i~~i . ~-PEA HOUR ` ~ J' <br /> OLD TENTION OF TRUCKS AT THE BUILDING SITE I ~ OF TRUCKS AT THE BUILDING SITE <br /> claims foP'delays encountered ink ivory will be allowed as all deliveries are made to the best of our ability and dispatch. rvo Gams for delays encountered in I~ry~vlR~be <br />alowed as all deliveries are made to the best of our ability and dispatch. <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY 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. I, the undersigned, will assume all responsibility for any <br />damage where delivery is made inside of the curb. _ <br /> WARNING Z ' WARNING <br /> Use of this product without protective clothing could cause bodiy injury. Every effort should be taken to avoid contact with skin. Use of this product without protective clothing <br />could cause bodily injury. Every eHoR should be taken to avoid contact with skin. <br /> TERMS OF PAYMENT r- TERMS OF PAYMENT <br /> The balance is due and payable on the 101h of the following month. After 20 days a LATE CHARGE of 2.0% monthly (ANFk1AL The balance is due and payable on the 10th of the following <br />month. After 20 days a LATE CHARGE of 2.0% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion of the balance due. 1 agree to pay and/or guarenlee payment' the ~ PERCENTAGE RATE OF 24%) will be added to the <br />unpaid portion of the balance due. I agree to pay and/or guarantee payment'oT 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 re le ~ charges listed on this Invoice when <br />due, plus any applicable late charges. In the event of default of payment, I agree to pay rea ~ ble <br /> attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney's fees and court costs arcu by attorney's fees and court costs incurred <br />by Nation's Mini-Mix Inc. including these reasonable attorney's fees aM court is incu by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in colection of the balance due whether or not action is filed kt court. I agree the the ~ . Natbn's Mini-Mix Inc. <br />in any bankruptcy proceeding in collection of the balance due whether or not action is tiled in cou gree tthe <br /> liability is being personally assumed by me unless otherwise indicated bebw and this agreement does not constitute a release of ~ility. liability is being personally assumed <br />by me unless otherwise indicated below and this agreement does not constitute a le of Ij~ility. <br /> By my signature below, acknowledgment and agreement of the above is hereby made. O e By my signature bebw, acknowledgment and agreement of the above is hereby made. <br /> ~ ' <br /> DENS I \ O <br /> LIENS ` I <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all I~'e~at~t purchas®and Nation's Mini-Mix Inc. Concrete Service <br />hereby gives notice of its reservation of the right to assert any and all lieQS against purchas~l and <br /> third parties arising under all applicable federal, slate or local laws in the event the prices stateisagt ark no/I-paid whA~4fue. third parties arising under all applicable <br />federal, state or local Taws in the event the prices staters,agree~Ydrelfot p~d wh~tlue. <br /> 1 reviewed and approved a completed copy of this Invoice. a ~\v/ ~ 1 reviewed and approved a completed copy of this Invoice. r,? / ~ <br /> ANCE O ~I <br /> ICE TiiJJT O <br /> Nation's Mini-Mix. Inc. agrees to provide all service~aryl~ indnyryB Invoice. ~ ~ Nation's Mini-Mix, Inc. agrees to provide all services-arm'fna187`ial~indicated~n~lnvoice, <br /> V\ / / ) <br /> Nations-Mini-Mix, Inc. \ Nation's } t ~ <br /> i t` <br /> I am 8 authorized agent of { 1 am a authorized agent of % ~ •s <br /> ~t { ' <br /> .J <br /> Signed Dated Signed 1_i Detad <br /> it <br /> <br />