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0 0 <br />AV"ClO/7 5 PLEASE PAY FROM <br />t ral► THIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />INVOICE <br />Small Yardage Concrete (541) 686-3031 <br />Nwa. 152727 <br />Date 5 " 0 t A <br />Sold To { l9 cs t '4f j <br />Address 6.(t" L.At'r°, ~ e <br />P.O./Job # <br />Quantity <br />Description <br />Total <br />1 ' <br />Yards <br />P.S.I <br />Mileage Charge <br />Stand By Time <br />or <br />Overtime <br />Hot Water <br />r- <br />Admixture: <br />,Slump <br />Air Content ~s % <br />ARRIVE LEAVE <br />JOB JOB <br />TIME ON <br />JOB <br />TIME CHARGE <br />MIN <br />Cal-PER OUR <br />TOTAL <br />4 <br />41) <br />, <br />ine- ~ <br />{ r Ca 'r -3 k- •L' DETENTION OF TRUCKS AT THE BUILDING SITE <br />t b Claims for delays 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 <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 Ol' 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 />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 />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 />I reviewed and approved a completed copy of this Invoice. <br />Nation's 50ni-Mix <br />td <br />By <br />Nation's Mini-Mir{, <br />I arp authorized <br />ACCEPTANCE <br />Inc. agrees to provide all services and materials indicated on this Invoice. <br />of <br />Dated <br />C3 <br />