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- - - _ _ ' <br /> - Native"s PLEASE PAY FROM <br /> ~~I~Y THIS INVOICE <br /> ...r c _ <br /> ~ INVOICE Small Yarda a Concrete P.O. Box 8532, Coburg, OR 97408 <br /> . I g (541) 686-3031 <br /> I <br /> I <br /> 'Date ~ ~ ~ <br /> I Sold To L~ r'' ~ <br /> ~ r <br /> ~ Address . J v t ""s r <br /> i. P.O./Job # <br /> i <br /> I quantity Description Total <br /> - Yards P.S.I ~ ~ <br /> j ~ ~3 ~ <br /> I <br /> Mileage Charge <br /> I <br /> Stand By Time j <br /> 6 ~ Sri ~ ~ ~j P,/~O ~ E GT'~ <br /> Overtime ~ ~ ~ _ <br /> <br /> ' ~ Hot Water <br /> Admixture: <br /> Slump Air Content ~ ~,6 <br /> ~ ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JOB <br /> ~ ~ ~ _ ~-PER HOUR TOTAL <br /> ~ . <br /> ~ ' 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. .l <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> ~ I, the undersigned, will assume all responsibility for any damage where delivery is made inside of the curb. z~ <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 /> 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 /> i 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. In the event of default of payment, I agree to pay reasonable <br /> attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney'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. <br /> By my signature below, acknowledgment and agreement of the above is hereby made. <br /> DENS ~ <br /> 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 j <br /> third parties arising under all applicable federal, state or local laws in the event the prices stated in this agreement are not paid when due. j <br /> reviewed and approved a completed copy of this Invoice. <br /> ACCEPTANCE'`, i <br /> Nation's Mini-Mix, Inc. agrees to provide all services ar~d materials indi~ated on this Jnvoice. <br /> t , <br /> l Nation's Mirn- ix. Ine: _ r a . ~ ~ F, <br /> r t 4 Jr ~ lt' i <br /> 1 <br /> am a authorized agent of d, ~ } ~ • ' <br /> ~ ! ~ i <br /> Signed Dated <br /> - - - i <br /> ~2__o~rs3 <br /> f f <br /> ~L~ <br /> <br />