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I' <br />PLEASE PAY FROM <br />THIS INVOICE <br />Avgff ` P.O. Box 8532, Coburg, OR 97408 <br />INVOICE Small <br />Yardage . Concrete <br />(541) 86 30 1 <br />3 <br />NO 149999 <br />~DafeAc -e - G'? <br />Sold To C r A„ <br />Address .97-1 it i t -57, r13f- , <br />P.O./Job # C <br />I'V <br />Quantity Description Total <br />8 Yards P.S.I Cam"' l , <br />Mileage Charge <br />Stand By Time <br />Overtime g, ✓ <br />Hot Water l0' ~~07 <br />AdrrOdure: <br />Slump " Air Content <br />% <br />ARRIVE LEAVE TIME ON TIME CHARGE <br />JOB JOB JOB MINUTES <br />L P Lf PER HOUR TOTAL j ` <br />~*~j DETENTION OF TRUCKS AT THE BUILDING SITE <br />IS1 dioms 76rie(g5">sncountered in 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 />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 <br />The balance is due and payable on the 101h. of the following month. After 20days a LATE -CHARGE of 20% 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- 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 to 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 constrtute a-release of liability. <br />By my signature-below,-acknowledgment and agreement of the above is hereby made - <br />J 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. <br />r I reviewed and approved a completed, copy of this Invoice. <br />ACCEPTANCE <br />Nation's Mini-Mix, Inc. agrees to provide all services and materials indicated on this Invoice. <br />Nations Mini-Mix, Inc. <br />I am a authorized agent of <br /> <br />Si nail Dated ' <br />