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_ <br /> Nc7t'%O/7 5 PLEASE PAY FROM <br /> • <br /> ' ;a'° Y~~~Y THIS INVOICE ~ <br /> INVOICE ~ N c P.O. Box 8532, Coburg, OR 97408 ~ ` <br /> Small Yardag ~ Concrete (541) 686-3031 <br /> r° <br /> ~ a~a~1 ~ Zo~S b2 3321 <br /> Sold To ` ~ - ~ _ ~ <br /> J <br /> Address ~ - _ i o. <br /> "s <br /> P.O./Job # '1 i x <br /> ~3 <br /> Quantity Description Total <br /> i / . <br /> t~{ ~(c.~ Yards P.S.I J f <br /> Mileage Charge <br /> ~c s~-l 11-q33~- 9~51~ ~ <br /> . - Stand By Tirne~ ~y,Q, /fem. ~ ~ 1 <br /> Overtime ~ ~ <br /> Hot Water i ~ l <br /> Admixture: <br /> . <br /> p <br /> Slum r Air Content o,~ . <br /> ARRIVE LEAVE TIME ON TIME CHARGE ' <br /> JOB JOB JOB <br /> ,p ~C. <br /> {f ~ L~ ; ' PEA HOUR TOTAL <br /> ' ~ DETENTION OF TRUCKS AT THE BUILDING SITE ~ <br /> No 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 /> I, the undersigned, will assume all responsibility for any damage where delivery is made inside of the curb. <br /> WARNING j <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 70th of the tollowing 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 charges. In the event of default of payment, 1 agree to pay reasonable <br /> - ~ attorney's tees 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 <br /> <br /> . - _ ~ liabiltty is being personally assumed by me unless otherwise indicated below and this agreement does not constitute a release of liability, _ - a <br /> ' By my signature below, acknowledgment and agreement of the above is hereby made. 'f <br /> LIENS 1 <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all liens against purchaserand l <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. <br /> ACCEPTANCE j <br /> Nation's Mini-Mix, Inc. agrees tb provide all services and materials indicated on this Invoice. <br /> By f:'~ lam" 05-?')-)~°O~~J`~ ~C'VD <br /> Nation's Mmr Mix, Inc. <br /> ' _ 1 am a authorized ag! o <br /> i <br /> ---~-``~y 4 ~ ~ if <br /> Srgned r, <br /> - Dated <br /> <br />