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PLEASE PAY FROM <br />` low TH <br />IS INVOICE INVOICE Small Yardage Concrete PO' Box 8532, Coburg, OR 97408 <br />t 42 326 (541) 686-3031 <br />i Date <br />Sold To <br />Address <br />'C`J f j <br />P.O./Job # <br />Quantity Description j <br />Total <br />! (i Yards P.S.I. <br />h t ~ <br />Mileage Charge V G j <br />Stand By Time a G II <br />Overtime <br />Hot Water { <br />I <br />Admixture: I <br />Slump_ <br />Air Content % <br />ARRIVE LEAVE <br />TIME ON <br />JOB JOB JOB TIME CHARGE I <br />c.. r f~, AC <br />, MINUTES TOTAL c-- <br />-==-PER HOUR y <br />1 I ' <br />fj-~S DETENTION OF TRUCKS AT THE BUILDING <br />No claims ford ays encountered in SITE <br />delivery will be allowed as all deliveries are made to the best of our ability ALL ORDERS ARE FOR and dispatch. d <br />1, the undersigned, will assume all responsibility for any damage whee ET eURB DELIVERY <br />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 <br />on the PERCENTAGE RATE OF 24%) will e add dt to the unpaid portion oof the balance due. I agree to pay and/orf guarantee paymenN of the <br />NAL <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 le <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 />j 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 />{J <br />LIENS <br />.j <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 11 <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 Invice. <br />Natign191M)ni-Mix. Inc. agrees to provide all serviC/ a)td(Mattel CEPTndiNated on'lhis Iwoice. <br />By ! • t <br />pct /'2 <br />Nation's mint-Mix, Inc 4 + , <br />1 am a authorized agent of <br />Signed 31 f ` n <br />Dated <br />Approved` <br />clat # r <br />Cis S Contract: <br />PO: c)o e~ t 8' <br />Rec. <br />To Ai <br />