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N4ffr 7" W PLEASE PAY FROM <br />THIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />INVOICE Small Yardage Concrete (541186-3031 <br />151 <br />36 ac, t7~10 <br />Date <br />P d 2" 161 T I y['_ Q~ <br />Sold To <br />Address <br />P.O./Job # ' s <br />Quantity <br />Description <br />Total <br />Yards <br />P.S.I <br />Mileage Charge <br />Stand By Time <br />C-D d C-l AGE <br />Overtime tJ Gl S <br />G <br />Hot Water <br />Adrri)dure: <br />Slump <br />Air Content <br />ARRIVE LEAVE <br />.JOB JOB <br />j. <br />TIME ON <br />JOB <br />TIME CHARGE <br />MINUTES <br />@F PER HOUR <br />TOTAL <br />' . <br />- <br />DETENTION OF TRUCKS AT THE BUILDING SITE <br />No claims for delays encountered in delivery will`tie aillowed as all deliveries are made to the best of our ability and dispatch. <br />ALL ORDERS ME 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 bodity 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% 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 Ip¢oice 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 incuuedby Nation's, Mini-lytix Inc: inbluding these reasonable attorneys 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 />t liability is being personally assumed by me unless otherwise indicated below arid this agreement does not constitute a release of liability. <br />By my signature below, acknowledgment and agreement of the above is hereby made. <br />LIENS <br />lyatior's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert any and all hens against purchaser and <br />third parties arising under all applicable federal, state or local laws in the eventthe prices stated in this agreement are not paid when due. <br />I reviewed and approved a completed copy of this Invoice. <br />ACCEPTANCE <br />Nation's Mini-Mix, Inc. agrees to provide all services and materials indicated on this Invoice. <br />Y <br />Nation's Mini-Mix, Inc. <br />I am a authorized agent of <br />Dated <br />Signed <br />0 <br />