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~ p6~ <br /> IVc7t/O/~ 5 ° ~ PLEASE PAY FROM <br /> " ~ ~ THIS INVOICE <br /> <br /> ~ P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE ' ~ <br /> Small Yardage Concrete (541) 686-3031 <br /> <br /> ~ . <br /> ~ Date ~"S <br /> Sold To t -fit ~ <br /> Address 'd` ~ <br /> ~ <br /> P.O./Job r~°''°r ~ f~r,"~~-- t <br /> .:Md ~ <br /> Quantity Description Total <br /> ~ Yards P.S.I ~"":rt,~---'`-' <br /> - - <br /> Mileage Charge r y . r.f ; <br /> Stand By Time <br /> Overtime <br /> Hot Water ~ <br /> 6.....:° <br /> Admixture: ~-~j ~ J ~ ~ ' <br /> Slump Air Content <br /> f;~ <br /> ARRIVE LFJIVE TIME ON TIME C f ~ ~ j <br /> eo ~ .IOe .IOB TOTAL ~`~d <br /> MINUTES ' <br /> !y ~-PER HOUR <br /> ~ t <br /> r <br /> e~v~ y ~ ,p'~ DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for dela s encoun er in delive 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, wilt assume all responsibility for any damage where delivery is made inside of the curb. ~ - <br /> WARNING <br /> Use of this product without protective clothing could cause twdily injury. Every effort should t>e taken to avoid contact with skin. ~ <br /> TERMS OF PAYMENT <br /> The balance is due and payable on the 10th of the following month. Atter 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. I 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 /> attorney's 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 Mini-Mix Inc. in any bankruptcy proceeding in collection o(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 arid this agreement does not constitute a release of liability. <br /> By my signature below, acknowledgment and agreement of the above is hereby made. <br /> LIENS <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all liens against purchaser and <br /> third parties arising under all applicable federal, state or local laws in the event the prices stated in this agreement are not paid when due. a <br /> reviewed and approved a completed ~~py of this I,n+~Foice. d~ <br /> Ifr J ACCEPTANCE <br /> Nation's Mini-Mix, Inc. agrees to,p~vi~ <br /> e all s` rvjces and mat ~ als indicated on this Invoice J L) _ ~ , ; ~ L .i ~ ~ I <br /> J <br /> ~ - <br /> Nation's Mini-Mix, Inc. ~ ~ <br /> ~~~a'^` , <br /> am a authorized agent of _ f ~ f e ~ ~ . <br /> e <br /> Signed Dated <br /> _ .~._.~-1 <br /> 0 l (o <br /> :..H~~ ~ ~ <br /> <br />