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M"CI&M's <br />INVOICE Small Yardage Concrete <br />146943 <br />Date <br />Sold To <br />PLEASE PAY FROM <br />THIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />(541) 686-3031 <br />r <br />Address <br />P.O./Job ~ ` <br />Quantity <br />Description <br />Total <br />Yards <br />P.S.I <br />= ; <br />Me Charge <br />Az-%, <br />eyf <br />Stand By Time <br />Q Q <br />-17 <br />Overtime SQ1 S <br />Hot Water <br />Admixture: <br />Slump r' <br />Air Content <br />% <br />i t <br />ARRIVE LEAVE <br />JOBS r JOB <br />TIME ON <br />JOB <br />TIME CHARGE <br />MINUTES <br />PER HOUR <br />TOTAL <br />I L 1` jC fT< DETENTION OF TRUCKS AT THE BUILDING SITE <br />o claims 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. dersigned, 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°/6 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 defaufl of payment, I agree to pay reasonable <br />attomey'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 />Sy;my'sgnature 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 />I " ACCEPTANCE <br />t Natxm s MmrMrx, Ific. agrees tq provide all services and materials indicated on this Invoice. <br />i i <br />By 1 <br />Nations Mini-Mix, Iru. <br />jL- 't <br />I am a authorized agent of - <br />r~ <br />G7 ~f <br />S Dated <br />• <br />0. <br />