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,,,I. <br /> ~~~n 5 PLEASE PAY FROM <br /> • _ _ THIS INVOICE <br /> t <br /> ¦ ,ter c_ <br /> INVOICE Small Yardage Concrete PO. Box (541) 686-303 0R 97408 i <br /> ~ ' ~ ~ , _ <br /> 1. _s <br /> ~ j Date <br /> Sold To ~ ' <br /> i <br /> Address ` ~ i <br /> 1. <br /> ~ P.O./Job # ~ <br /> Quantity Description Total ~ <br /> r' <br /> : Yards P.S.I J <br /> ~ -t'".~ <br /> ~ ~ ~ ~ ~ r <br /> L~ <br /> Mileage Charge - - <br /> Stand By Tirrte <br /> Overtime ~ y ~ ~~rr ~ ~ ~ . <br /> Hot Water <br /> S <br /> AdrraMure: G R/ V G~--°' ~ is <br /> f <br /> Slump Air Content`s ~a> <br /> <br /> ' { - - , <br /> ARRIVE LEAVE TIME ON TI HARGE <br /> JOB JOB JOB - <br /> MINUTES TOTAL ~ <br /> F C ~ i ~ i q~-PER HOUR - 'r / ~T <br /> i~,, I <br /> 1 ' ~ ~ w ~ DETENTION OF TRUCKS AT THE BUILDING SITE t <br /> No claimts'for delays enco ntered in delivery wtll 6e allowed as all deliveries are made to the best of our ability and dispatch. I <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY { <br /> ' i I. the undersigned, will assume all responsibility for any damage where delivery is made inside of the curb. <br /> I WARNING <br /> {{E Use of this product without protective clothing could cause bodily injury. Every effort should be taken to avoid contact with skin. i <br /> TERMS OF PAYMENT y` l <br /> ,I i . <br /> The balance is due and payable on the 10th of the following month. After 20 days a LATE CHARGE of 2.0 % monthly <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion of the balance due. I agree to pay and/or guarantee - ~ . dte ik <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of default of payment, I agrP•~~ .aso e <br /> 66 attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attomey's fees ar= ~ ..~s t `J <br /> • ~ P Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action i° +'7 , art. ~ ~~e <br /> ~ liability is being personally assumed by me unless otherwise indicated below and this agreement doe ~ V- <br /> ute ililvl I <br /> ~ _ By my signature below, acknowledgment and agreement of the above.is hereby made. ~ 7 / _ <br /> LIENS ~ V <br /> ' t Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation oft right t and <br /> I third parties arising underall applicable federal, state or local laws in the ev t es st + ~ endue. <br /> r ~ <br /> reviewed and approved a completed copy of this Invoice: „ n <br /> ! ACCEPTA~ICE'?a 6~ . <br /> Nation's Mmt Mtx' Inc.. agrees to prpvt~ all services and materials indicated on this Invoice. , I <br /> E ~ ;r <br /> T~~~~t <br /> j. By ' <br /> ( Nation's Mini-Mix,,ryric. r°t ~ <br /> 1 am a authorized agent of <br /> t & <br /> f Signed Dated <br /> lGG I. <br /> k ~ <br /> <br />