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07/2912003 15:19 5416831588 NATIONS MINI MIX INC PAGE 01101 <br /> SO I S ~ . c~~ G ,~ec~SS _..S <br /> • <br /> o~~ <br /> • - PLEASE !'AY F <br /> ~~t'A~IrI' <br /> THIS INVOICE <br /> r ~ ~ M O ~ A ~ ~ ' ~ ~ P.O. Bnx 8532, Coburg, OR 97408 ~~'1 A <br /> M L S~lall Xardlage Concrete t~4~)s~s_~o3~ <br /> y <br /> Sold 70 ~ ~ . <br /> Address n ~ <br /> 7 <br /> P.O./JOb # <br /> Ouanttry €Jescription ~~~j~ /T+o~tal <br /> Z Yards P.S.I sue" ~V <br /> M~t~e Charge <br /> Stand ey Time <br /> Overtime <br /> Hvt Water <br /> Admixture: <br /> Slump Air Content ~A6 <br /> ARRIVE LEAVE TIME ON t'IMECHARl3E <br /> JOB JOB J08 <br /> <br /> ~ , ~ ? ~l l ~ ~-PER HOUR ~O~l'1L ~ ~s` <br /> ~j ~ V uE7eNTSONi)FTRUGKSA7'THEBUILIDINQ5fTE <br /> No ~fatm for'do~y~nco~ntgrgd in dglivory will bo &Ilowed Pe as dgliverigg SVg made to ing beat oT ouY abllRy and dlepetCtl. <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> 1. the µnder5tgned, wm gggume apt reaponslb4lty for any damage where tle0.Very is made inside of the Curb. <br /> WARNING <br /> Uae o1 (ht9 prodUCl wfthOgt pfoieCtlve clothing Could Cause bodily injury. Every effort should he taken to avoid contact with skin. <br /> TERMS OF PAYMENT <br /> The balance tg due and payable on the 10th of the Tollovring month. After 20 days a LATE CHARGE of 2.p% monthly (ANNt,IAL <br /> hEr1C~NTAOC rTAYC Of 24%) wll! De atltlats to Nd~ unpgitl pprtlpn pf the balarue due. t 89roe to pAy and/or guarantee payment of the <br /> • ctlargea listed on this Invoice when due, ¢lus any applicable Irate charges. !tt the agent of defaulYgf paymen6 I ogre®to Day rgasonabte <br /> flltpYney 8 lees and court costs incurred by Nation's• Mini-Mix Inc. irtt:ludin0 thoxr. raaoonaDla attnrnay`F faag grad rgirn C•ggig Inrurrgd ray <br /> Nation's Mini-Mix Inc. m any bankruptcy ptoCegdlnq In gbllgCllon of tag balance due whether oY Rot action la tiled In Coun. I flglee ihflE the <br /> liability is being personally azsumad by me unl¢ss othorwtsg lntliaaiatl belgw and ihlg agnaerttent does not cOn8111UTA a relee8e OI tlflblllfy. <br /> lay rtty 9tgnaturg below, aCknowletlgment and agrearneni oT the above i8 hereby made. <br /> LIEN5 <br /> NaDOn'8 Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of th® right tq aSSgrl dray end all liens dgain5l pUYChgSgr and <br /> • third parties afi4in8 under al! applicable f oral, state or local laws in tho event ing priCgg stated~l;t„~hf,R 7gregmgnt are not paid'~vAen due. <br /> I rggjewgd and approved a comptet oDy of this Invoice. <br /> ACCEPTANCE <br /> - NationB Mini-Mi%, Inc. dgrcgg t vide alt 86rviCg d materials indlCatgd on srf{9 InVOICe. <br /> sy f~/, . <br /> Nation's Mini-Mix, Inc, <br /> ? ,~/J1 <br /> I am H authoYi2etl agent at <br /> Signed Dated <br /> z~~~ <br /> ~(<< I~~ <br /> <br />