c7/ Pl 5 P 4tE AY: FROM <br />WHO .:;W. t INVOICE <br />Mill" - P.O. Box 8532, Coburg, OR 97408. <br />INVOICE ` small Yardage Concrete (541) 686-3031 <br />151295 <br />Date o <br />Sold ToF t `Il Y r i t N <br />Address h, 'c',Ar, , F Al -4- A J r- C.- <br />_au-anW- <br />1V Description <br />Total <br />rap <br />Yards <br />P.S.1 ? c 'C? <br />r✓ . <br />"7. <br />Mileage Charge <br />- <br />Stand By Time <br />Overtime <br />IUe Q Cpp6rTlo. <br />Hot Water <br />i6"1-a98p ~>-T*a5L4 LaT-- <br />Admixture: ti <br />77 S <br />Slump <br />Air Content <br />ARRIVE LEAVE <br />JOI"B~ JOB <br />r(.lJ t d <br />TIME ON <br />JOB <br />t9 T" <br />TIMECKARGE <br />+S MINUTES <br />-PEA HOUR <br />TOTAL <br />75 <br />t1 fj DETENTION OF TRUCKS AT THE BUILDING SITE <br />No claims for ell y e countered 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 2.016 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 lees 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. I <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 />Nation's Mini-Mix, Inc. <br />I am a authorized agent of~ <br />Dated <br />4 <br />