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INVOICE <br />A,3 15233 <br />/Vaitr ®17 5 PLE PAY FROM <br />T INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />Small Yardage Concrete (541) 686-3031 <br />Date 17 11 -7 ti - Cfi <br />Sold To op-, C:V r o I'Ct4t- <br />Address J&) i Y`;V ~r ~xl) j. 1 T" t rk t C~ rr.r ) <br />P.O./Job C/J <br />Quantity <br />Description <br />Total <br />Yards <br />P.S.I.SCf~ <br />rr <br />Mileage Charge <br />Stand By Time <br />Overtime <br />Hot Water <br />3 `'I <br />33~: ~l SZ <br />/ <br />Admixture: <br />Ns• <br />by <br /> <br />Slump <br />e <br />Air Content 2~-30 ,v iz <br />% _ <br />` <br />ARRIVE LEAVE <br />JDI3 JOB <br />a~ i to Q i E L/U <br />TI <br />JOB <br />MINUTES <br />f ' y. -PER HOUR <br />TOTAL <br />7 .1 "c <br />4 <br />.90 6 tr tl ctt DETENTION OF TRUCKS AT THE BUILDING SITE <br />No claims for delays ountered 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 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 />ACCEPTANCE \ <br />Nation's Mini-Mix, Inc. agrees to provide all services and materials indicated on this Invoice. , <br />YBy~lilLAJf-'* J <br />Nations Mini-Mix, Inc. - <br />I am a authorized agent of <br />Dated <br />