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_ { <br /> PLEASE PAY FROM <br /> Nation"s ~ <br /> ~~~Y THIS INVOICE <br /> INVOICE ~ ti c P.O. Box 8532, Coburg, OR 97408 <br /> Small Yardage Concrete (541) 686-3031 <br /> f~ <br /> ,/,~^;r <br /> f..,~ - Date ~.:-r ~ i~ _ <br /> Sold To ~ l ~ ~ P (,~c-~,¢'~,~.7 <br /> ~,==-a--/- ~ , <br /> Address ' ~ E <br /> ~ e,% ~ ~ <br /> ~~'y=~ r' ! ~ ~ <br /> P.O./Job # ~~:~..1 ~.G~~~~>~.~ ~ . <br /> t <br /> - Quantity Description Total 1 <br /> } ~ Yards P.S.I ~ t <br /> f <br /> Mileage Charge ~ c:~. ~ ~ , <br /> r` fit=. .a-.--.... <br /> " <br /> Stand By Time <br /> Overtime ~ <br /> ~Ddt~ ~l <br /> Hot Water v <br /> Admixture: <br /> Slump ~ " Air Content 6`', Y°k <br /> ARRIVE L E TIME ON TIME CHARGE <br /> JOB J08 JOB 1 MINUTES C.- <br /> ~~'"Jq ~ 'PER HOUR TOTAL <br /> L~ DETENTION OF TRUCKS AT THE BUILDING SITE <br /> N,~claims for delays encountered 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 /> . 1, 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 betaken to avoid contact with skin. <br /> TERMS OF PAYMENT <br /> The balance is due and payable on the 10th pf the following month. After 20 days a LATE CHARGE of 2.0% monthly (ANNUAL " <br /> , <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 /> charge listed on this Invoice when due, ~lus any applicable late chat§§~~ 9 he event ~ment, I agree to pay reasonably <br /> attome 's fees and court costs incurred b Nation's Mini-Mix Inc. iniaudirf~ th~ a reasons I e ' fe a d coutt t curved b <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whet r o n a n i ~I in o rt. I ag that the <br /> liability is being personally assumed by me unless otherwise indicated below ar7d'thissagreemeatdn.~ co ~tut~ a re~sliability. <br /> By my signature below, acknowledgment and agreement of the above is hereby ma~l"e ~ ~ rr11 ( ~ - <br /> LIENS vT~b.1L G <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of tt7e.nght-{Qassert any and all lien5'a i 'pJrch~er and <br /> third parties arising under atl applicable federal, state or local laws in the event the prie$sy$t~ted m this a eyt r otpard endue. <br /> reviewed and approved a completed copy of this Invoice. =1 <br /> ~t ~ <br /> _ ACCEPTANCE ~J `1 <br /> 'r~„ ~5. z <br /> Nation's Mrm Mix, lnc agrees~prowde all services and mater~~s`indigated,on this Invoke <br /> Nation's Mini-Mix, Inc. ' <br /> t am a authorized agent oL~`r' <br /> <br /> . Signed ~ E~ Dated <br /> <br />