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<br /> i <br /> /~/at/O/7 5 PLEASE PAY FROM <br /> THIS INVOICE <br /> ¦ N c_ RO. Box 8532, Coburg, OR 97408 , <br /> INVOICE small Yardage Concrete S(541) 6-303 <br /> S~ <br /> Sic / t <br /> Soid To ~ <br /> _ ~ ~r - ~ f <br /> ~fI it~~ ~ I €i" t <br /> Address / <br /> P.O./Job # <br /> Ou ~ Description. TDB <br /> ~ ( Yards P.S.I ~ <br /> _ <br /> , <br /> Mi sage C ~ ~ ' ~ _ 1 <br /> Stand By Time 'i <br /> Overtime 0~-c'r~ ~ /S 1 ~ 1l <br /> Not Water <br /> 'l <br /> Admixture: 1 <br /> Slump - Air Content ~ _ . <br /> ARRIVE LEAVE TIMEON TIME CHARGE <br /> B ~°B J TOTAL <br /> ~J{~ 1~ 'y ~ ~ ~ _ PFA HOUR <br /> DETENTION OF TRUCKS AT THE BUILDING SITE ~ iJ \ ~ , <br /> 'E,No cf ms ~r de ys enc n e ery wilt be allowed as all deliveires are made to the Hest 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. :M1~, <br /> WARNING <br /> Use of this product without protective clothing could cause bodily injury. Every effort should be taken to avoid contact with skin. 3i <br /> TERMS OF PAYMENT. ~ <br /> The balance is due and payable on the 70th of the following month After 20'days a LATE CHARGE ~if 2.0% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion of the balance due. I agree to pay and/or guarantee paymentot the <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of defauH 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 r <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action is filed in court I agreethat the <br /> liability is being personally assumed by me unless otherwise indicated below and this agreement does not constitute a release of liabilty t ) <br /> ey my signature below, acknowledgment and agreement of the above is hereby made. t <br /> LIENS f <br /> Nation's Mini-Mix Inc. Concrete-3 <br /> cable federal, state orllocal lawsen the eventthe Prices stated n th s agreement a e <br /> nottpaUd when <br /> due. r <br /> third parties arising under all app - ) <br /> 1 reviewed and approved a completecopy of this Invoice. ! <br /> ACCEPTANCE .f " k <br /> Nation's Mini- 'x; In~ agfees to p~ services and materials indicated on this Invoice. <br /> V <br /> By ~ _ ~ a <br /> Nation's 'ni-Mix, no. ~ -1 <br /> 111 ~-r ~r.•; 'f <br /> am a authorized agent/ot ~ ~ ; ~ . ~ - <br /> ~~'1. <br /> f . Dated <br /> ~h/u~ <br /> ~ <br /> <br />