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f <br /> _ Nation's PLEASE PAY FROM <br /> ` ~ - ~~~Y THIS INVOICE <br /> . ti <br /> 4 INVOICE Smail Yarda a Concrete PO. Box 8532, Coburg, OR 97408 <br /> f A ~ ~ g (541) 686-3031 <br /> ~ ~ ; <br /> l r r ~ f Date ' <br /> Sold To ~ _ ~ ~ <br /> ; c ~ Z.-'~_ <br /> ~ ~ <br /> Address ;~9 f^~- w't" <br /> P.O./Job # C : ' r.. t,.f i {f. - <br /> 1 <br /> - ~ Quantity Description Tony <br /> r ~ Yards P.S.I .~,'%U <br /> r a; ~t'~,r`>'~,,C'L~ <br /> Mileage Charge .DSO r~ <br /> Stand By Time cGeSs' c..,,t..,. <br /> Overtime .~,.~y,q~~ ~ . <br /> Hot Water <br /> Admixture: <br /> Slump _ antent <br /> 1 f <br /> 7; <br /> ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JOB eF <br /> sa , : ~ ~ ~ MINUTES TOTAL ~ ~ ~ <br /> - ~ ~-PER HOUR rl <br /> ~ i , Y ~C d~ DETENTION OF TRUCKS AT THE BUILDING SITE <br /> Nb'~c7eims for delays(~counf€red in delivery will be allowed as all deliveries are made to the best of our ability and dispatch. <br /> I, the undersigned, will assume all respons biIORDERn~ damag wbereEdelivery i8 made <br /> m Rde of the curb. ii,~ <br /> WARNING 1~ `-'C <br /> Use of this product without protective clothing could cause bodily injury. Every effort should be ta~~ ~Cr/ <br /> ~ - <br /> r TERMS OF PAYMENTy) <br /> [ The balance is due and payable on the 10th of the following month r ays c ~ ,,.4L <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion of the rce ue. I ..yr~e. v ~ n 1 <br /> charges listed on this Invoice when due, plus any applicable late charges In thb-$~ienpoY <br /> ' ~ e <br /> oI^' t/ le <br /> attorney's fees and court costs incurred by Nation sMini-Mix Inc. includmgthese reason e ' <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whet r or n n ~ ty <br /> r liability is being personally assumed by me unless otherwise indicated below and this agre an <br /> By my sgnature below, acknowledgment and egreement of the above is hereby made. d""'~strtute e- • h,, <br /> LIENS ~ pm~~ <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to asse~ d 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. <br /> ' ACCEPTANCE <br /> Nation's Mini-Mix, Inc. agrees to prowde~all services and m~rials indicated on this Invoice. <br /> ' Y r t <br /> B 9 L4~ <br /> NahonsMimMix,lnc. ~ / r-r 1 <br /> i f. ` <br /> am a authorized agpen f~'~~. <br /> Signed ~ ¢ ~ ~r~ - <br /> 1 Dat ~ ~ J <br /> <br /> t ° <br /> <br />