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I®/Ie~~® 5 PLEASE PAY FROM <br />THIS INVOICE <br />' rw P.O. Box 8532, Coburg, OR 97408 <br />Small YardagConcrete~~Z (541)68 3031 <br />INVOICE <br />150030 Pocx~~S I' <br />(Zac <br />3 Date 1t ' P14 '7 <br />Sold To <br />Address ' "7'1. ' c + L- A <br />P.O./Job # <br />Quantity <br />Description <br />Trial <br />Yards <br />P.S.I 37PC7C7 <br />f / <br />Mileage Charge <br />'oL 6-b <br />Stand By Time <br />y7~-p <br />Overtme 07 _ 193 <br />- c) 3 ✓LO((CZ <br />Hot Water clv-_ <br />A-10 <br />Admixture: 01 <br />Slump <br />Air C <br />% <br />it, <br />ARRIVE LEAVE <br />JOB JOB <br />TIMEON <br />JOB <br />TIME CHARGE <br />MINUTES <br />TOTAL <br />r <br />~v DETENTION OF TRUCKS AT THE BUILDING SITE <br />No-clatfns 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, 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. 1 agree to pay and/or guarantee payment of thcharges listed on this Invoice when due, plus any applicable <br />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 pumhaserand <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 />By <br />Nation's Mini-Mix. Inc. <br />