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i; <br /> - ~ ~~PLEASE PAY FROM <br /> ' ~~~Y HIS INVOICE <br /> f ¦ N C_ <br /> O I C E P.O. Box 853 oburg, OR 97408 <br /> Small Yardage Concrete (541) 6 -3031 <br /> f. <br /> ~'C1 !'"!4 ~ to % r. i" - <br /> i Sold To : <br /> Address ~ ~ f ' ~ <br /> ~ - <br /> P.O./Job # i,'lt <br /> t <br /> .l f ; ; <br /> k ' <br /> Quantity Description Total <br /> F. t Yards P.S.I '~~':3 l;r f>"-l'~~ <br /> . . <br /> Mileage Charge / j` p3:_ , _r <br /> Stand By Time <br /> Overtime ~ / <br /> Hot Water cJ~i ~f f - <br /> ~ <br /> l Admi~dure: <br /> <br /> r <br /> Slump Air Content ~F, ~ % <br /> ~ - <br /> f ~ <br /> ARRIVE ~ ~ LEA~IE TIME ON TIME CHARGE <br /> JOB JOB. JOB <br /> ....MINUTES <br /> ~ TOTAL > ~ ~ <br /> i ' ~J. / 1 1 ~ ~-PER HOUR ~ ~ r ~ I` _ <br /> F <br /> DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No cl2imS~for delays ehcodritered in delivery will be allowed as all deliveries are made to the best ofour 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 shouldbe 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. 1 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, l agree to pay reasonable <br /> attorney's fees and court costs incurred by Nation'sMini-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 /> 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. <br /> reviewed and approved a completed copy of this Invoice. ~ - t+ ] ~ ~ <br /> - i~~`%!, <br /> - ACCEPTANCE <br /> Nation's Mini Mix Inc. agrees to provide all services and materiats indi aced-on this Invoice. <br /> By-- ~ y <br /> Natton'SMini Mix-"Ind" h ! <br /> am a authorized agent of <br /> i <br /> Si fined Dated <br /> U1 . <br /> a, ~ <br /> <br />