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I®Ii0/~ PLEASE-PAY FROM - <br />- - ~ <br />THIS INVOICE ' ` . <br /> <br />F% P.O. Box 8532, Coburg, OR 97408 <br />INVOICE SmallAardage, Concrete : (541) 686-3031 <br />s~ s,4. <br />Date" C- <br />Sold To P ►'r ( rA G- ' ~ st# <br />Address 15 y Nt d^~' e4 <br />c <br />P.O./Job <br />If T"~ A, <br />1 <br />7,1 <br />. DETENTION OF TRUCKS AT THE BUILDING SITE <br />0 or ~ ys <br />o claims for delays encountered in delivery will be allowed as atl'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' <br />WARNING ZIP <br />Use of this product without protective clothing couldcause bodily injury. Every efforUHAR ken t a i c - ct` ' ki <br />TERMS OF PAYMENT <br />' The balance is due and payable on.the 10th of the following month. After 20 da 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 thisagr'eement 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 />cl, <br />ACCEPTANCE <br />Nation's Minr-Mix, Inc. agrees to provide all services and materials Indicated"on this Invoice. <br />-Nation's MiniMix Inc <br />1 I am a authorized agent of ' t <br />.Signed Dated <br />Quantity <br />Description , <br />Total <br /> <br /> <br />Yards <br />'t P.S,I ~ <br />Mileage Charge` <br />:Tirne <br />Stand By <br />f <br />'tW} . <br />~ ~G' l' p.~..~ <br />1•! . ~x`..~ <br />Overtime <br />Hot Water <br />Admixture; <br />Slump Air C <br />ent <br />ARRIVE. LEAVE <br />"JOB .JyOB <br />rCr ! •~I` ~ <br />TIME ON <br />JOB <br />~ ,rte <br />TIME CHARGE <br />`-!,!E? MINUTES <br />~~PER HOUR <br />TOTAL <br />~ <br />~ f'.~ ` <br />