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/Vt"~t/On 5' PLEASE PAY FROM <br /> r ~ ~ THIS INVOICE <br /> ? P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE <br /> Smail Yardage Concrete (541) 686-3031 <br /> - ~ p ~ `.s ' <br /> r Date _ <br /> Sold To ~ ~ i;-' i t 1 c r- r-~ <br /> Address r"'.,;a <br /> ~ r <br /> P.O./Job # ~ i- <br /> <br /> j ~ Quantity Description Total <br /> Yards P.S.1 - <br /> ! Mileage Charge - <br /> Stand By Tirne <br /> ( ,y~. f <br /> i ~ <br /> Overtime ~ j'~ C <br /> F Hot Water ~ ~ ~ ~ ~ Ci~..~ <br /> Admixture: ~ G , <br /> Slump Air Conten % <br /> - f. <br /> ARRIVE LEAVE TIME ON TIME C GE <br /> JOB 'JOB JOB <br /> . ~ MINUTES . <br /> - _ ; ~ PER HOUR TOTAL <br /> 1/ t` ~ r'J l ~.:r, 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 darijage 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 /> TERMS OF PAYMENT <br /> I: The balance is due and- payable on the 10th of the fallowing 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.:l 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, I agree to pay reasonable <br /> attorney's fees and court costs incurred by Nation'sMini-Mix Inc., including these reasonable attorney's fees and court costs incurred by <br /> y Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection o(the balance due whether or not action is filed in court. I agree that the <br /> i liability is being personally assumed by me unless otherwise indicated below and thisagreement does not constitute a release of liability. <br /> By my signature below, acknowledgment and agreement of the atiove;:is hereby made. <br /> fif _ LIENS <br /> F' Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right.to assert any and all liens against purchaser and <br /> r' third parties arising under all applicable federal, state or local laws inthe event th'e prices stated, in thisagreement are not paid when due. <br /> - - I -I reviewed and approved a completed copy of this Invoice. <br /> ACCEPTANCE <br /> Nation's Mini-Mix, Inc. agrees to provide all services and materials indicated on this Invoice. <br /> By <br /> Nation's Mini-Mix, Inc. f ~ i ~ : _ " <br /> r ~ <br /> 1 am a authorized agent of ;i ~ r,~?` <br /> ~ { <br /> ! y ~ <br /> ~ Signed <br /> Dated <br /> U I t <br /> Zoe <br /> ~ ~ o~ <br /> <br />