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/ Mmit®tAff7- _ E.PAY FROM <br />INVOICE <br />INVOICE P.O. Box 8532, Coburg, OR 97408 <br />mall Yardage Concrete (541) 686-3091 <br />sf~YeY S/ <br />Date O ! <br />Address 0L%-7A r A <br />(I r~J <br />Quantity <br />- <br />T V.7 <br />Description a4 d <br />77 <br />Total <br />Yards <br />P.S.1 S <br />Mileage Charge <br />Stand By Time <br />Qr' <br />40. <br />Overtime <br />\VE~Ya.. oP ►J+~lb-G7lo <br />Hot Water <br />1457-1-629;- 93GI-,(, 2 <br />, t <br />Admixture: <br />D d <br />7 <br />Slump <br />Air Content 6.% <br />Ir <br />ARRIVE LEAVE <br />JOB JOB <br />r 00 <br />TIME ON <br />JOB <br />U.oIl 1-'0 <br />TIME CHARGE <br />~ MINUTES <br />~ PER HOUR <br />TOTAL <br />DETENTION OF TRUCKS AT THE BUILDING SITE <br />this fo7 r de-y(hountered 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 />By <br />Nation's Mini-Mix, Inc. <br />I am a auth9rized agent of <br />