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3 <br /> ..~1/afion"s PLEASE PAY FROM <br /> y ~~~Y THIS INVOICE <br /> INVOICE ~ ti c P.O. Box 8532, Coburg, OR 97408 <br /> Small Yarda a Concrete <br /> g (541) 686-3031 i <br /> Date _ 1 <br /> ` <br /> > . <br /> Sold To f i i`} `c ~ ~ f~ `J <br /> t _ ,t <br /> Address _ ~ ,,~f~: I'Jf <br /> P:O./Job # ~ ~ % f~ F= <br /> Cluantity Description Total <br /> _ _ <br /> Yards P.S.I <br /> ~ _ f;f--- <br /> Mileage Charge l 1:•f `r~'r"~~ ~~'I r" • y f e <br /> Stand By Time ~ ~ A <br /> Overtime ~ ~ ~ ~ G~ <br /> Hot Water X - ~,~~3 ~ ~ <br /> AdrTUxture: ~ ~ ~ <br /> a~ <br /> Slump ~ " Air Content . ~ <br /> _ r" <br /> ~`7_ <br /> RIVE VE TIME ON TIhJECHARGE i <br /> JOB JOB JOB j ~ ; ""l <br /> ~ ,r MINES TOTAL <br /> / <br /> f`!j t`,' % ~ PER HOUR <br /> e,.l 7 <br /> / r ~r <br /> 7 f ~ ~f/ DETENTION OF TRUCKS AT THE BUILDING SITE - a <br /> v lac~i' <br /> I~skncoLnt, in delivery 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 <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 charge`s; In the event of defauR 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 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 /> 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 /> 1 reviewed and approved a completed copy of this Invoice. <br /> - ACCEPTANCE _1'~' a <br /> Nation s Mim Mix, Inc agrees to piowde all services and matefials indi don this Invoice. i <br /> ;r <br /> dim ~ _ ; <br /> - 2 <br /> Nations Mini-lax, Iris` ~ ~ ~:~1 <br /> <br /> ' I am a authorized agent of j_ % _ i_: <br /> [ ` I <br /> t ' <br /> V~` I I f Jl l j r ~1 <br /> Signed Dated ~ <br /> C.J- <br /> ~1 z <br /> <br />