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<br /> ' <br /> IVs"~t/O/7 5 PLEASE PAY FROM <br /> ~ THIS INVOICE <br /> NV01 C E P.O. Box 8532, Coburg, OR 97408 <br /> SmaIL Yardage Concrete (541) 686-3031 <br /> v ~ <br /> f I,x- ; J <br /> i~ I` ; - Date f.~ 1 /!rte>~ <br /> f. Sold To ~ ~ , <br /> f r~' f rl <br /> Address ~ ~ _ _ <br /> P.O./Job # .--~.!{'''r I ~ ° ~f f ~ r' f , j f'' ~ <br /> ~I. <br /> l <br /> s Quantity, Description Total <br /> r Yards P.S.I ~ ~ ' <br /> MileageCharge p r ~ ~ <br /> Stand By Time ~ <br /> Ovel~me ~ Sd~ <br /> Hot Water Q „Q <br /> Admixture: ~ 1 . <br /> r <br /> SIumP r~ <br /> ~ Air Content ~ <br /> % <br /> ~ r';~~f f ~''i <br /> l;. ~ <br /> ARRIVE L E TIME ON TIMF„C(iARGE <br /> JOB JOB JOB <br /> i ' t~~.-- ~ , Y~--~ MINUTES TOTAL ~ ~ f <br /> ~ r , PFA HOUR ~ ~i <br /> `'3 ~~.rf` r <br /> ~ <br /> DETENTION OF TRUCKS AT THE BUILDING SITE <br /> t•Yd`cla~rrSs for eta countered 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 /> f TERMS OF PAYMENT <br /> The balance is due~andpayable on thel0th ofthe followingmonth After 20 daysaLATE 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 charges 1 ^ " .r.~t of default of payment, l agree to pay reasonable <br /> . ~ ~ attorney's tees and court costs incurred by Nation's Mini-Mix Inc. including ear5'onable attorney's fees and court costs incurred by - <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection o(the bala~frether ory~} action is filed in court. I agree that the ~ - <br /> liability is being personally assumed by me unless othervvise indicated below and this agreemeny(icesaot constitute a release of liability. <br /> ey~my signature below, acknowledgment and agreement of the above is hereby mad w U t/Jl <br /> LIENS ~ - <br /> Naton's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the n ht ts'~sert an allliens ~afr+kt ch r d <br /> 1~ third parties arising under all applicable federal, state or local laws in the event the ps tg~d m 1h~ ~i~r~ are note, due. <br /> reviewed and approved a completed copy of this Invoice. ~ ~ l <br /> ACCEPTANCE ® ~...y C ~ ~ <br /> Naton's Mim Mtx Jnc:agrer3s to prowde all services and materi~jS indicatedyon thy, - <br /> . - - ~.J <br /> _ <br /> Nation's Mini-Mix, Inc. <br /> F+ <br /> 1 am a author+ied agent <br /> o~~ _ <br /> s. - <br /> Signed - Dated <br /> <br />