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ASE PAY FROM <br />HIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />INVOICE Small Yardage Concrete (541) 686-3031 <br />/ Date ° 11C -a <br />Sold To i w'_ l ca d' K 5 . <br />Address play h110i.40k--) * I.Vtt t S Ic'n en <br />RO./Job # Q y~1'. # 014 (aqw <br />q0 4'4 SP DETENTION OF TRUCKS AT THE BUILDING SITE <br />No 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 />I, the undersigned, w6assume all responsibility for any damage where d li ' made inside of the curb. ' - <br />Use of this product without protective clothing could ca 5 t jury. Every effort should be taken to avoid contact witli skin. <br />TERMS OF PAYMENT <br />The balance is due and payable on the /Olh~pf the following month. After 20 days a LATE CHARGE of,2;0% monthly (ANNUAL <br />PERCENTAGE RATE OF 24%) will b a ded id (he unpaid portion of the balance due. I agree to.pay and/or guarantee payment of the <br />charges listed on this Invoice wheq c~ee, ~u` any applicable late charges. In the event of defaultrof payment, I agree to pay reasonable <br />attorney's fees and codrlt is nCtTIre l by Nation's Mini-Mix Inc. including these reasonable attorney's fees and court costs incurred by <br />Nation's Mini-Mix Incrirankriuptcy proceeding in. collection of the balance due whether or not action is filed in court. I agree that the <br />liability is being persona ly 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 />Nations Mihj;Mix"Tnc,Concrete Service hereby gives notice of its reservation of the right to assert any and all liens against purchaser and <br />third parttes.ansmg 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 />ACCEPTANCE d <br />ices and materials indicated Qn.this Invoice " ~(I J <br />Nation's Min' Mix, Inc. agrees to ovid all serv <br />S° <br />By <br />Nation's nr-Mix, Inc' <br />I am a authorized agent of <br />Signed Dated <br />Quantity <br />Description <br />Total "'J- <br />Yards <br />P.S.1 <br />Mileage Charge <br />Stand By Time <br />(V?~io <br />Overtlme <br />.r- 1 b SZ~ <br />Hot Water C), <br />Admixture: <br />Slump <br />Air Content' <br />ARRIVE LEAVE <br />Joa JOB <br /> <br />Cam <br />TIME ON <br />JOB <br /> <br />TIME CHARGE <br />Pr MINUTES <br />O-PER HOUR <br />TOTAL <br />' <br />Zi <br />