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. <br /> . „F <br /> ~ _ <br /> Nc7t"/O/7 5 PLEASE PAY FROM <br /> ffr THIS INVOICE <br /> -INVOICE <br /> Small Yardage Concrete P.O. Box 8532, Coburg, OR 97408 <br /> (541) 686-3031 <br /> s''' ~ ~ ~ ' " Date _ J'~ ' -Ca <br /> Sold To <br /> Address ~ a <br /> P.O./Job # <br /> Quantity t <br /> Description Total ~ <br /> ' Yards P.5.1 <br /> ~ <br /> Mileage Charge <br /> Stand By Time = ~ <br /> Overtime <br /> ' J' <br /> Ci _ - <br /> .S... <br /> 'Hot Water _ . , <br /> - Admixture: <br /> Slump AirCanterrt <br /> % , <br /> ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JC18 JOB C'l~0~ <br /> t <br /> MINULE$ TOTAL ~ f <br /> -PER HOUR <br /> ~~~K~*' DETENTION' OF TRUCKS AT THE BUILDING SITE <br /> No claims for delays encou errt red'n delivery will be allowed as all deliveries are-made to the best of our abtli and ~ , <br /> z ~ ALL ORDERS ARE r-0R STREET CURB DELIVERY ty <br /> 1, the undersigned wil(assume alFresponsibility for any damage where delive - <br /> ry is made inside of the curb. <br /> WARNING pl~J ~ <br /> Use of this product without protective clothing could cause bodily injury. Every effort should bet ~y ' ~ _ <br /> ct m. <br /> TERM$ OF PAYMENT <br /> The balance is due and payable on the 10th of the following month. Ater 20 days GE of ~ ~ <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion of the bal ,due. 6 L <br /> charges listed on this Invoice when due, plus any applicable late chargesrl t~, ~t o y9aarfan <br /> eo me t e <br /> attorney's fees and court costs incurred by Nation'sMini-Mix Inc. including, s 9 pa 're le <br /> es a urtcost ed by <br /> . - Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection.of the balari due whQth of ey e <br /> in court: ~ ree that the <br /> ' ~ liability is beingpersonally assumed by me unless otherwise indicated belox~aniJ this agreem i <br /> co ease of habrlity. <br /> <br /> ' . ~ - ~ ~By my sgnature below, acknowledgment and agreement ~of itie above'is hereby`made.' ~ ~ . <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of ds reservation of the right to assert an ®II liens against purchaser and <br /> third parties arising and r all app cable federal, state or local laws in the event the prices stategreement are not paid when due. <br /> reviewed and appFo~i d a Corn leted copy of this Invoice. , <br /> ~ ACCEPTANCE <br /> Nation's Mini-M'~C eP . agr o prq~de all services and materials indipted on this Invoice, <br /> By <br /> Fj'~ <br /> Nation's Mi Mix, nc. fIJ' <br /> f <br /> ' I am a authorized agent of ~ 1 ~ <br /> j'"~` <br /> ' Signed 1 <br /> ''11-'J5-~3A11:39 RCVD Dated a <br /> <br />