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i . _ <br /> j~ ~ I Nt"~t/O/7 5 PLEASE PAY FROM <br /> . \~r~ ~ THIS INVOICE <br /> INVOICE ~ ti ~ P.O. Box 8532, Coburg, OR 97408 <br /> Small Yardage Concrete (541)686-3031 <br /> ! # <br /> j p <br /> ~ <br /> ~ ~ Date ! <br /> Sold To <br /> Address <br /> P.O./Job # r _ ~i: <br /> ' - _ Quantity Description Total - . <br /> Yards ~ P.S.I ~ , <br /> f M~eage Charge <br /> . ~ Stand By Time ~ <br /> ~f3 ~o ~ ~ <br /> Overtime S'D / S~ <br /> FiotWater IC7 ~ Xf,~t~2 <br /> Admixture: <br /> 'f Slump e j! Air Content ~ % <br /> ARRIVE LEAVE TIME ON TIMECHARGE <br /> { JOB JOB SOB TOTAL 7 <br /> MINUTES <br /> -PER HOUR <br /> r,. <br /> (f~,/'+~~ DETENTION OF TRUCKS AT THE BUILDING SITE ` <br /> No claims for delays encounte`ied in <br /> 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 /> 1, the undersigned, will assume all responsibility for any damage where delivery is made inside of the curb. <br /> WARNING <br /> Use of this product wdhout protective clothing could cause bodity injury. Every effort should be taken to avoid contact with skin. - <br /> 'I TERMS OF PAYMENT <br /> The balance is due and payable on the 101h 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 pay f , <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of default of payment, 1 agree to pa le <br /> attorney's foes and court costs incurred by Nation'sMini-Mix Inc. including these reasonable attorney's fees and court by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action is filed in t the <br /> _ liability is being personally assumed by me unless otherwise indicated bebw and this agreement does not consttt a e h <br /> By my signature below, acknowledgment and agreement of the above is hereby made. \ ~ _ . <br /> LIENS <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any I' i t <br /> - third parties arising under all applicable federal, state or local laws in the event the prices stated in a a due. <br /> I reviewed and approved a tact co~f this Invoice. /L, <br /> ~ ACCEPTANCE T <br /> Nation's Mini-Mix, Inc. ~ to pro ' apices and materials indicated on o~ <br /> Nation's Mini-Mix, Inc. _ /ly,"y j` ' <br /> <br /> - 1 am a authorized agent of 11~~ t.e,-= ` i__ - f~.- <br /> - ~ ' <br /> Signed Dated ~ <br /> <br />