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_ IVc~t/O/7 5 PLEASE PAY FROM <br /> ~i.rM THIS INVOICE <br /> INVOICE ~r ~ N c P.O. Box 8532, Coburg, OR 97408 <br /> Small Yardage Concrete (541) 686-3031 <br /> Date A ~ ~,1 <br /> Sold To _ ~ r~... <br /> ; f <br /> Address _ <br /> P.O./Job # f <br /> Quan ' Description Total <br /> Yards P.S.I - <br /> Mi sage Charge ~ <br /> Stand By Tme <br /> Overtime <br /> { 9~ ' <br /> Hot Water ~ <br /> ~ e ~ <br /> Adrr>iMure: , <br /> _ lJ 1 <br /> Slump Air Content ~ <br /> > ~ <br /> ARRIVE LEAVE TIME ON TIMEC <br /> ` JO~„°~ JO JOB <br /> ~ s ~ MINUTES <br /> ¢ ~ ~ ~1 - r ~-PFJi HOUR TAL ~ f <br /> DETENTION OF TRUCKS AT THE BUILDING SITE <br /> o i f delays n ~ ~ ter in very 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 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 bodily injury. 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 j <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion of the balance due. 1 agree So pay and/or guarantee payment of the j <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of default of payment; l; agree to pay reasonable <br /> attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attomey's fees and court costs incurred by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action is filed in court. I agree that the .j <br /> liability is being personally assumed by me unless otherwise indicated 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 /> I . 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. - <br /> f reviewed and approved a completed copy of this Invoice. <br /> ACCEPTANCE ' <br /> Nation's Mi~iFM~ , 1~ ~~reeswi8'~all services and materials jndicat@d on this Invoice. <br /> BY__~~ S , <br /> ...:.Nations Mirn- ix. mc. , 1 a s,. ) <br /> am a authorized agent of r ` <br /> 4 l ~'-':J i~ ~ J it I ° 'v J\ ~ I I~ <br /> Signed J y <br /> `r Dated <br /> _ { <br /> <br /> k ' <br /> ...i <br /> , ' `fie. ~ L/ ! 6 <br /> j <br /> ~ <br /> ~ <br /> 3(P 9 <br /> <br />