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_ ~ ;i <br /> 1 <br /> i <br /> • • `IVc7t/O/7 5 PLEASE PAY FROM <br /> ` THIS INVOICE <br /> " ~ <br /> << <br /> . '~'IO'/+L ~ ~ r- P.O Box 8532, Coburg OR 97408 J, <br /> lei L Small Yardage Concrete (541) 686-3031 <br /> r Date l r~~' - <br /> f ri <br /> Sold To ~ ; ~7_ ~rf>`° ; <br /> - ~`t <br /> t, <br /> Address C~~~ ~t4'~' I' <br /> - " <br /> 3. <br /> P.O./Job # <br /> ~ Quantity Description Total 1 <br /> , ~ Yards P.S.I / <br /> ~ <br /> MlicageCharge _ ~ <br /> Stand By Time.... <br /> E.. <br /> .overtime ~G <br /> ~,~SS <br /> S i,Ut Water (J ~ ~G ~14 O.1~;L <br /> Admi~dure: <br /> i <br /> Slump >r'"" Air Content ~ °k <br /> j <br /> ' <br /> ~ ARRIVE. - EAVE TIMEON TIME HARGE 'I' <br /> JOB JOB JOB ^ J+ ~ <br /> ; S f , <br /> ~ 'rf# ~ ..`"1 MINUTES TOTf'S f <br /> , rf Vd .~.~%G tif. ~ } PER HOUR 4 ( .4,? 1: <br /> \ ';t <br /> ETENTION OF TRUCKS AT THE BUILDING SITE - <br /> ~e s er iveryw II be allowed as all deliveries are made to the best of our ability and: dispatch <br /> I ALL ORDERS ARE FORSTREET.CURB DELIVERY - 1: _ <br /> j,_ I, the undersgned,will assume all resporisibilityfor any damage where delivery"is made insldeof the curb. <br /> WARNING " <br /> I Use of this product-without protective clothing could cause bodily injury. Every effortshould be takentoavoid contact withskin- ~,I <br /> TERMS OFPAVMENT ; <br /> >ihe balance is due and payable on the 10th of the following morith After20 days a LATE CHAgGE of 20 % 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 payment of the - <br /> -.charges.Gsted on this Invoice when due, plus any applicable late charges- In the event of default of payment, I agreeto pay reasonable <br /> attomey'sfees and court costs incurred by:NaGon's Mini-Mix Inc including ihesereasonable aftomey s fees andcourt costs rncu rred by <br /> 'Nalroh'sMirn Mix Inc- in any bankruptcy proceeding in collection of the balance due whether or not action is filed Ih court I agree that the j. ~ . <br /> 'IiabilAy isbemg personally assumed by me unless otherwise indicated tielow and this agreement does not conshtutea release of liability. - - <br /> I By my signature below acknowledgment and agreement of the above is hereby made <br /> ~ LIENS <br /> Nation's Mini Mix Inc_ Concrete Seivice hereby gives notice of its reservation of the nght to assert any andall liens against purchaser and <br /> third parties ansipg under-all applicable federal; state orlocal laws in the event the'pr ces stated m this agreement are not paid when due. _ <br /> I reviewed and approved a completed copyof this Invoice. - <br /> - - -ACCEPTANCE _ ~ r ~ <br /> -NaLons Mini Mix Ina agre~sio'provide all services and mate~al indica~d.on-this Invoic~`r = ~ ~ "~U ~ P ~ V f~ = <br /> ' j <br /> By _ <br /> Nation's Minr_Mix Inc J-; i~- ~*i " <br /> am a authorized agent of yX~' ! ~ - S <br /> - - T <br /> 5 ne r i ` Dated L <br /> •T t l/~ ~ ~ ~lX <br /> <br /> ' 4/6/2006 <br /> <br />