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' <br />-PLEASE PAY FROM <br />THIS INVOICE t <br />INVOICE <br />Small Yardage Concrete <br />P.O. Box 8532, Coburg; ORi97408 <br />zZ (541) 686-3031 <br />- <br />i ; 15157 <br />~m <br />3iI ~a oo- <br />r <br />0 k <br />C i <br />Date <br />_ <br />Sold To <br />616 <br />6 <br />_ <br />~-,o <br />C i 7t (114 k : <br />/ <br />1 <br />I <br />v <br />L <br />Address <br />. <br />P <br />/Job # <br />O <br />. <br />. <br />- <br />1 7 <br />Quantit <br />Description <br />Total. <br />f <br />y <br />Yards. <br />P.S.I Z t, O-. <br />Mileage Charge' <br />FA- E0 <br />_Siand By Time <br />ca, <br />Overtime <br />I <br />! <br />Hot Water(!~~) <br />Admixture: <br />Slump <br />Air Conte nt <br />44 <br />ARRIVE LEAVE <br />JOB J ~JfO~BS~. / <br /> <br />TIME ON <br />JOB <br />TIME CHARGE <br />. -^rl MIN <br />PER HOUR <br />TOTAL <br />, v <br />J' (~r' (j Ly~ DETENTION OF TRUCKS, AT THE BUILDING SITE <br />• No claimsYor de`l'ays encountered in delivery will be allowed as all deliveries are made to the best of our ability and disp Itch. <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. <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 - I <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 />PERCENTAGE-RATE OF.24°O will be added to the unpaid portion of the balance due. I agree to pay and/or guarantee payment of the <br />chargeelistedon.thislnvoice.when`due„plus any applicable late charges. In the event of default of payment, I agree to pay reasonable <br />- ~attomey's fees and court costs.incurred by Nation's Mini Mizinc-includ'mgihese:ieas'onable.attomey s tees 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 couri_l 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 ofthe 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 and all liens against purchaser and <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. "v <br />reviewed and approved a completed copy of this Invoice. - - - <br />j~ ACCEPTANCE <br />Nation' fNini rx, c. tt" to prow e a services and matgrials indicated on this Invoice. r <br />_t. <br />- 11 <br />Y <br />Nation's Mini-Mix, Inc. <br />- ~ - <br />F <br />-q! am a authorized agent-of- a _ <br />Signed Dated <br />