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\ \ <br /> _ g ~ I~Ic7t/O~ 5' PLEASE PAY FRO ` <br /> ~N?~ THIS INVOICE M 1 <br /> ¦ N C <br /> <br /> • IHVOIGE P.O. Box 8532, Coburg, OR 97408 <br /> 11 Y doge Concrete (541') 686-3031 <br /> ~ ~ f? - Date ~ <br /> Soid To j <br /> j <br /> e <br /> Address - ~y~ <br /> P.O:/Job # ~ J ~ <br /> • <br /> Quantity Description ' <br /> ;I <br /> Total <br /> ' F` Yards I P.S.I r <br /> Mileage Charge - <br /> Stand By Time : ~ - <br /> 1 <br /> Overtime ~ <br /> Hot Water l_f, • _.-~._i. r-~s ' <br /> f ~ f <br /> Admi~dure: <br /> a <br /> ' Slump ' <br /> j ' Air Content o~ <br /> ARRIVE LEAVE TIME ON TIME CHARGE r <br /> JO¢ JOB JOB ~ fi"" ) <br /> it ~ <br /> < 1{,'Li , . ~ MINUTES <br /> ' ~ TOTAL 'y <br /> ~ ' - ~ PER HOUR t`."~,,..-~' ~ ;j <br /> ~f y~ r"' y ~ ~ y i <br /> ` { f t ~ i.:, { y ,i DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for delays encountered in delivery will be allowed as all deliveries are made to the best of our~~bility and dispatch. m <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY j <br /> I, the undersigned, will assume all responsibility for any damage where delivery is made inside of the curb ' <br /> 1MARNING - <br /> Use of this product without protective clothing could cause bodily injiyry. Every effort should be taken to avoid contact with skin. I <br /> r <br /> TERMS OF PAYMENT <br /> The balance is due and payable on the 10th of the following morr'lh. Alter 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 chat}gel. In the event of defauk of payment, I agree to pay reasonable <br /> atlorney's fees and court costs incurred by Nation's Mini-Mix Inc. incl ding these reasonable attorney's fees and court costs incurred by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of th~ balance due whether or not action is tiled in court. l agree that the <br /> liability is being personally assumed by me unless otherwise indicated below and this agreement does not constdute a release of lialxhty <br /> By my signature below, acknowledgment and agreement of the above is hereby made. - <br /> DENS <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 andj <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. <br /> 1 reviewed and approved a completed copy of this Invoice. _ ' <br /> ACCEPTANCE <br /> E:... Nation s Min7,Mix,~lpc~agrees to provide all services and matenal~iridicated on tfi nvoi ~ , <br /> i sy i ~ ~ r ~ <br /> ' Nahoi's Mmi-Mix, Inc. t° ~ s ~ ggs. 4 <br /> Pam a authorized agent Df t- f ` ~ Y ~ ~ <br /> i ~ 'Signed <br /> Oated <br /> - <br /> 3 Al 7 7 <br /> _ Q <br /> h1~ „[C _ <br /> <br />