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Nat,~on"s PLEASE PAY FROM <br /> Lr THIS INVOICE <br /> INVOICE ' <br /> P.O. Box 8532, Coburg, OR 97408 <br /> Small Yardage Concrete (541) 686-3031 <br /> CQ <br /> r,,. .Date <br /> Sold To ~ t - <br /> Address ~ <br /> P.O./Job # <br /> a' <br /> Quantity _ Description <br /> Total <br /> Yards P.S.I ~ 1'~~ ~ r'~, <br /> <br /> ' - Mileage Charge ~^i <br /> fi Stand By T ~ <br /> ! ~ J <br /> i" Overtime <br /> Hot Water ° ~ " <br /> f ~ f <br /> Admixture: <br /> t <br /> Slump Air Content <br /> ~ ' o~ <br /> ARRIVE LEAVE ( TIME ON TIME CHARGE T <br /> 1 ~ * ~ ~f / MINUTES 1 O If1~ <br /> ~ ~ ! 1 ~-PER HOUR i <br /> t. F / f <br /> ' / ~ DETENTION OF TRUCKS AT THE BUILDING SITE ~ <br /> . ~ ~ No cl ' s f r delays n red ' elive will be allowed as all deliveries are made to the best of our ability and dispatch. <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> . I. the undersigned, will assume alt responsibility for any damage where delivery is made inside of the curb: <br /> Use of this product without protective clothing could cause bodilya <br /> Jury. Every effort should be taken to avoid contact with skin. <br /> TERMS OF PAYMENT <br /> The balance is due and payable on the 10th of the following 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 guarantee payment of 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 reasonable <br /> attorneys fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney's fees and court costs incurred by <br /> Nation's Mim-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action is filed in court. I agree that the <br /> liability is being personally assumed by me unless otherwise indicated below and this agreement does not constitute a release of liability. <br /> ey my signature below, acknowledgment and agreement of the above is hereby made. <br /> Nation's Mini-Mix Inc. Concrete Service hereb LIENS <br /> third parties arising under all applicable Feder <br /> I state o~Ifocal laws n theaevent the pricee stated n th s agreement are: <br /> not paid when due. <br /> reviewed and app{oved a complet d copy of this Invoice. <br /> / ~ ACCEPTANCE <br /> Naha s ini- ix, Inj .agrees t ide~a~F'`~services and materials indicated on thisirlnvojce. <br /> gy f { <br /> Natio s Mini- ix, In . ' <br /> 'i t <br /> am a authorized agent of ~ ~ ~ <br /> Signed g' <br /> t Dated <br /> c, ' <br /> , <br /> U~B~ <br /> 3 t~, ~c~. C~ c S <br /> ~~f l3 <br /> <br />