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Nat/On"s PLEASE PAY FROM <br />,wo THIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />INVOICE Small Yardage Concrete (541) 686-3031 <br />1 _ fr <br />~C~10 l ~I g ~-i Date it <br />PD <br />Sold To <br />Address <br />P.O./Job # i G- : t E ..7 <br />Quantity <br />Description <br />Total <br />A' <br />Yards <br />P.S.I ? <br />r 1~ <br />Y <br />Mileage Charge <br />Stand By Time <br />G -5 <br />Overtime SQ 1 <br />7 O <br /> <br />Hot Water <br />t S. <br />r'~y <br />Adrri)dure: <br />Slump <br />Air Content <br />^ y(, <br />l~yt <br />ARRIVE LEAVE <br />JOB JOB <br />TIME ON <br />JOB <br />TIMECHARGE <br />, C.J C s.. <br />? <br />MINUTES <br />PER HOUR <br />TOTAL <br />-2 r - <br />c.. ' <br />t DETENTION OF TRUCKS AT THE BUILDING SITE <br />No c~ms 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 />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 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. 1 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 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 />By my signature below, acknowledgment and agreement of the above is hereby made. <br />LIENS <br />Nation's Mini-Mtx 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 />ACCEPTANCE <br />Inc. agrees to provide all services and materials indicated on this Invoice. <br />By <br />Nation's Mini-Mix: <br />0 <br />1 am a autfionzed agent of <br />1? ~ l <br />