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IlhtsO/D 5 PLEASE PAY FROM <br />THIS INVOICE,, <br />,e <br />N VO I C E <br />PO. Box 8532 Coburg OR 97408 <br />t <br />r <br />C <br />6 <br />1 <br />e <br />. <br />onc <br />e (541),68 <br />-3031 <br />Small Yardage <br />152913 <br />t' <br />Date 2 r L~ <br />' <br />ld T <br />` <br />S <br />o <br />o <br />, r <br />s✓c <br />Address . <br />. <br />P.O./Job"# <br />Quantity <br />Description: Total <br />Yards <br />P.S.I ~V <br />ro!~I <br /> <br />Mileage Charge <br />Stand By Time . • O. <br />IP. <br />Overtime <br />Hot Water <br />^ 3 <br />AdmiMure:. <br />~oa9bD ' <br />Slump <br />Air Content <br />- <br />i <br /> <br />ARRIVE LEAVE <br />, <br />JOB OB <br />TIME ON <br />JOB <br />TlkiE611 QE <br />MIN Es <br />OTAL <br />t7. <br />• <br /> <br />L <br />lob <br />PER H <br />! <br />' <br />4 11.1 U - - DETENTION OF TRUCKS AT THE BUILDING SITE <br />No claims for slays encountered 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 T - <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 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 1Oth'of the following month.- After 20 days a;LATE~CHARGE-of 2.0% monthly.(ANNUAL <br />PERCENTAGE.RATE`OF24%) will be added to the unpaid portion of the balance due. I"agree to pay an Nor; guarantee payment of the . <br />charges listed on this Invoice when due;' plus any applicable.late charges: Inthe`eventof defau@ of payment, I agree to pay reasonable <br />attorney's fees and court costs'incurred by Nation's,Mini-MixJnc. includingahese reasonable attomey's fees and court costs incurred by <br />Nation's Mini-Mix-Inc' it any bankruptcy proceeding in collection of the balance dole whIother or not action 'is filed In coup. 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 />LIENS e . <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 spell cable tederal,`state or local laws in the event the prices stated in this agreement are not paid when due. <br />J/ I re awed and approved a completed copy of this Invoice <br />ACCEPTANCE <br />Nati i. n gre~ rovide all services and materials indicated on this Invoice <br />`a 1 <br />By <br />Nat 's ini-Mix. nc <br />1 am a authorized agent of <br />Signed / Dated <br />PJ <br />