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r <br />INVOICE <br />/Vat/On m PLEASE PAY FROM <br />THIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />Small Yardage Concrete (541) 686-3031 <br />Date <br />Sold To <br />Address <br />P.O./Job # 2- <br />Ouantity <br />Description <br />Total <br />Yards <br />P.S.I = r <br />re <br />Mileage Charge <br />Stand By Time <br />A <br />Overtime <br />Q <br />Hot Water <br />SOIs <br />Admi:iQure: <br />Slump <br />Air Content % <br />ARRIVE LEAVE <br />JOB JOB <br /> <br />TIME ON <br />. <br />JOB <br />TIMECHARGE <br /> <br />MINUTES <br />@ PER HOUR <br />OTAL <br />- f <br />r <br />tr 3 _ :Qa <br />r r s DETENTION OF TRUCKS AT THE BUILDING SITE <br />No claims for delays encountered in delivery will be allowed as all deliveries are made to the hest of our ability and dispatch. <br />ALL ORDERS ARE FOR STREET CURB DELIVERY <br />1. 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 101h 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 fee costs incurred by <br />not acf tit ree that the <br />Nations Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether o,=s <br />liability is being personally assumed by me unless otherwise indicated below and this agreement d ~o1 rTstitu a of liability. <br />By my signature below, acknowledgment and agreement of the above is hereby made. o d <br />g <br />LIENS l 1 <br />Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to asse by al t eq a purch r and <br />third parties arising under all applicable federal, state or local laws in the event the prices stated as a7g a ntMare not pai due. <br />I reviewed and approved a completed 'copy of this Invoice. `WA`e~-(l " <br />ACCEPTANCE <br />. <br />Nation's Mini-Mix. Inc. agrees to provide all services and materials indicated on this Invoice <br />e <br />f r a- <br />By <br />Nations Mini-Mix :Inc. - - <br />I~ '~j~y~-~y~ <br />I am a authorized agent of <br />1 <br />• <br />0 <br />