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. ~ _ <br /> - Nativrl's PLEASE PAY FROM <br /> ~~~Y THIS INVOICE' <br /> INVOICE Small Yarda a Concrete P.O. Box 8532, Coburg, OR 97408 <br /> g (541)686-3031 <br /> ~ ~ <br /> Date ' " ~ <br /> r f?!' <br /> Sold To ~ s <br /> ~ ~:s <br /> :~°"~"r rf t B ' <br /> Address c~"' -'ems.. --~8~"e_` W~,,.~` <br /> P.O./Job # <br /> Quantity Description Total <br /> ~r Yards P.S.I ~p~ <br /> i - <br /> Mileage Charge a <br /> Stand By Ti L',D 3 ~t`D ~e.GT <br /> overtime SD t S~ <br /> Hot Water f <br /> ~ ~ ~ <br /> 1 <br /> •3 <br /> Admixture: <br /> Slump ~ ~ Air Content °k <br /> i r. <br /> +f~ 's9 ~ <br /> ARROIBE LOBE TIMOEBN TIMECHARGE <br /> -P~ <br /> Ho~R `TOTAL $ ` <br /> a ~ <br /> - ~ j r~~ DETENTION OF TRUCKS AT THE BUILDING SITE v <br /> No claims for delays encountered in delivery'will be allowed as all deliveries are made to the best of our ability and dispatch. 'I <br /> i <br /> ALL ORDERS ARE FOR ST~?EET CURB DELIVERY i <br /> I, the undersigned, will assume all responsibility for any damage whe;r~ 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 following 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. I agree to pay and/or guarantee payment of the <br /> charges listed on this Invoice when due, plus any applicable late charges. fn the event of de(autt of payment, I agree to pay reasonable <br /> attorney's fees and court costs incurred by Nation's Mini-Mix lnc. including these reasonable attomey's fees and court costs incurred by <br /> Nation's Mini-Mix Inc. in'any bankruptcy proceeding in collection of the balance due whether or not action is filed in court. I agree that the <br /> liability is being personally assumed by me unless otherwise indicated below and this agreement does not constitute a release of liability. t <br /> <br /> ~ ey my signature below, acknowledgment and agreement of the above is hereby made. t <br /> LIENS <br /> <br /> i Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the dght to assert any and all liens against purchaser and <br /> third partiesarising 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 I <br /> Nation's Mini-Mix, I~ ~ ees to p~videservices and materials indicated on tf~ltlyotc _ ? <br /> -i 4 -.sT . ~ ,l <br /> Nation's Mini-Mix, Ina ~~y % ~ <br /> / _ i <br /> am a authorized agent of ~ 1 <br /> Signed Dated <br /> ~U ~2_~ ~ Z~ <br /> I ' 2~.;~ C.~ ~ <br /> <br />