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„a <br /> ~;~IJ` IVc~t"/O/7 5 PLEASE PAY FROM <br /> 1~ THIS INVOICE <br /> 1 N VO ~ ~ E • , ~ c P.O.' Box 8532, Coburg; OR 97408 <br /> Small Yardage Concrete (541) 686 3031 H <br /> _ - ~ r <br /> ,,„P-, Date ~'L~ <br /> Sold To ~ ~ <br /> Address <br /> ~ <br /> i <br /> P.O./Job # ,f <br /> if <br /> Ou Description Total <br /> Yar P.S.I r~ ~j( <br /> Mil ge Charge ~ <br /> , <br /> i St d By TiIT~ _ ` <br /> 1! <br /> i~ Ove ~rne ~ ~j <br /> <br /> 1 Hot Wat ~C~~~? ~k <br /> <br /> 7 Admi~dure: <br /> Slump Air C nt <br /> G ~ <br /> ARRIVE LEAVE TIME ON .TIME CHARGE ! ` <br /> ~o JOB TOTAL <br /> J(~~~J MINUTES 1°-~ j~,~~ <br /> C'~'~~l~l ~ ~ -PEAHOUR f - <br /> ~ < ~ <br /> y~j ETENTION OF TRUCKS AT THE BUILDING SITE <br /> Iforaela e c fer in d e wdl be allowedas all deliveries are made to the best of our ability and dispatch fl <br /> : ` ALL ORDERS AREFOR STREET CURB DELIVERY <br /> 1. the undersigned, will assume all responsibihtyforavy damage where delivery is made inside of the curb. <br /> WARNING i~ <br /> Use of this product wdhout protechveclothing could cause bodily m~ury Every effort should be taken to avoid contact with skin <br /> TERMS OF PAYMENT is - <br /> The_balance is-due and payable on the 10th of the following month After 20 days a LATE.CHARGE of20% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portwn of thebalance due: I agree td pay and/orguarantee payment of the <br /> charges fisted on this Invoice when due, plus any applicable late charges In the event of default of payment ,.agree to pay reasonable <br /> attorney s fees and court costs incurred by Nation sMini Mixanc including these reasonable attomey s fees and court costs incurred by <br /> Nation sMini-Mix dnc. in any bankruptcy proceeding,in collection of the balance tluewhether or not action is filetl in court I-agree that ttie <br /> liability is being personally assumed by me unless otherwise indicatetl below and 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 `k. <br /> Nation's Mini-Mix Inc Concrete Service hereby gives noUceof its reservaGdn o(the nghkto assert any and all liens against purchaserahd <br /> _ 'third partiesarising under allapphcablefederal state orlocallaws in the event the paces stated inlhis agreement are npLpaid when due.. - <br /> -1 reviewed and approved a comple ed copy of this Invoice: <br /> ACCEPTANCE <br /> Nation' h ix I grew t ovide all services and materials indicated on this Invoice <br /> By <br /> ~1 am a authorized agent of ~ ~ ~ „ h-r' \f ~t <br /> s~__1-'J~ n - <br /> i <br /> $ <br /> Signed Dated.' <br /> ~ ~cx~ U I Co I l <br /> I q <br /> 3 <br /> <br />