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Natm0" 5 PLEASE PAY FROM <br />MLM~ <br />INVOICE ~ THIS INVOICE <br />Small Yardage Concrete P.O. Box 8532, Coburg, OR 97408 <br />ft (541) 686-3031 <br />Sold To Date - J <br />Address <br />PO./Job # <br />Quantity <br />Description <br />Yards Total <br />P.S.I <br />Mileage Charge <br />Stand By Time <br />Overtime <br />Hot Water A e" S /t-V <br />Admixture: <br />~v(S7 <br />Slump _ <br />Air Content <br />ARRIVE LEAVE <br />JOB JOB TI O8 N TIMECHARGE <br />MINUTES TOTAL <br />%i PER HOUR <br />i claims for delay`s'ehcountered in delivery OF TRUCKS AT THE BUILDING SITE <br />rwill be allowed as all deliveries are made to the best of our ability and dispatch. <br />he undersigned, will ALL ORDERS ARE FOR STREET CURB DELIVERY <br />assume all responsibility for any damage where delive i <br />Of this product without protective clothing could cause WARNING <br />bodily injury. Every effort should be taken to avoid contact with skin. <br />balance is due and payable on the t TERMS OF PAYMENT <br />ICE RATE Oth of the following month. After 20 'ges ICE listed on this Invoice will be added to the unpaid nc days a LATE CHARGE of Zara monthly (ANNUAL <br />when due, plus an l portion of the balance due. I agree to pay and/or guarantee <br />ney's fees and court costs incurred b y applicable late charges. In the event of Payment of the <br />WS Mini-Mix Inc. in an Y Nation's Mini-Mix Inc. including these reasonable lef attorney's fvent, I a r <br />ily is bein y bankruptcy proce~i"g in collection of the balance due whether or not actio ay reasonable <br />d by <br />g personally assum ed by me unless otherwise indicated below and this a <br />re curve at the <br />9reement doe <br />ty signature below, acknowledgment and agreement of the above is hereby made. `C Chute aelease of li ility <br />. <br />n's Mini-Mix Inc. Concrete Service hereby LIENS O 1 <br />Y gives notice of its reservation of the right to assert an <br />rarties arising under all applicable federal, state or local laws in the event the prices stated in Chi r` tLO~ V) <br />.wed and a roved. a al11-- is aga%st purcha d <br />PP completed copy of this Invoice. emetre not paid wh <br />e. <br />is Mini-Mix. Inc. a9 r ACCEPTANCE <br />ees to providefall services and materials indicated on this Invoice <br />t z PUg~,~C+ <br />'s Mini-MIx, Inc r <br />authorized agent of <br />tJ <br />a 615 S 2 <br />Dated <br />0 <br />