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~C ~U 0 C ~/at/O/7~5 PLEASE PAY FROM <br />THIS INVOICE <br />■ P.O. Box 8532, Coburg, OR 97408 <br />INVOICE Small Yardage Concrete (541) 686=1 <br />rw: #50314 <br />jj <br />Date <br />fold To <br />. <br />4ddress 7 <br />RO./Job # `r t <br />Total <br />Quantity, Description L . f <br />• <br />Yards P.S.1 d97 Mileage Charge j O x y <br />Stared By Time <br />Overtime <br />Hot Water <br />Admixture: <br />Air Content <br />Slump <br />ARRIVE LEAVE <br />B <br />TIME ON TIME <br />~ B <br />50 V/ <br />. <br />~a JOB HOUR <br />PER 1 <br /> <br />(i <br />CO <br />DETENTION OF TRUCKS AT THE BUILDING SITE and dispatch. <br />No claims for delays encountered in delivery will be allowed as all deliveries are made to the best of our ability <br />ALL ORDERS ARE FOR where eURB mDELIVERY ade inside of the curb. <br />1. the undersigned, will assume all responsibility for any damage delivery <br />WARNING contact with skin. <br />Use of this product without protective clothing could cause bodily injury. Every effort should be taken to avoid <br />TERMS OF PAYMENT able on the 10th of the following month. After 20 days a LATE CHaARar E,o, o0% they (ANNUAL <br />of he <br />agr <br />nt of t le <br />The balance is due and pay I agree e pay re alance <br />yme PERCENTAGE RATE OF 24%) will be added to the lpati a l~l charges.bIn he vent of default of payment • court costs recurred by <br />charges listed on this Invoice oice when due, plus any aPp au~~ree that the <br />attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney's fees and <br />Nation's Mini-Mix Inc. in any bankruptcy proceeding o in collection of the balance due whether or not action not is con filed liability is being personalty assumed by ma e unless of <br />the above is- <br />LIENS does <br />By my signature below, acknowledgment and agreement <br />LIENS <br />Ives notice of its reservation of the right to assert any and all liens against purchaser and <br />tare not paid when due: <br />Nation's Mini-Mix Inc. Concrete Service hereby g <br />bird parties arising under all applicable federal, state or local laws in the vent the prices stated in this agreemen <br />I reviewed and approved a completed copy of this Invoice. <br />ACCEPTANCE <br />t _ .'mom r .6a~d8 all services and materials indicated on this Invoice. <br />Nation's Mini-Mix. Inc. ~ . <br />I am a authorized agent of (7 <br />ti A dt <br />> L <br />Dated <br />