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NatsOn'_tj PLEASE PAY FROM <br />THIS INVOICE <br />P.O. Box 8532, Coburg, OR 97408 <br />INVOICE Small Yardage Concrete (541) 686-3031 <br />150641 &41a, Cia_oi,~s <br />~ 3a ~t- ti mss- Z9~a - ~ 1 S I s~ <br />Date jFG2 <br />Sold To tj: ! <br />Address ✓ ~sS Lr~ 1~t° 4 110E <br />P.O./Job # ~t f'= CSC' 7 7 <br />Quantity <br />Description <br />Total <br />Yards <br />P.S.I <br />e Charge <br />Stand By Time <br />b r A) ( <br />' <br />f., <br />Overtime <br />Hot Water <br />t <br />~^r_ <br />Adrrbdure: <br />Slump <br />Air Content <br />I <br />f ti- <br />ARRIVE V LEAVE <br />JOB JOB <br />r~ <br />TIME ON <br />JOB <br />TIMECHARGE <br />MINUTES <br />cw_~PER HOUR <br />TOTAL <br />'1 DETENTION OF TRUCKS AT THE BUILDING SITE <br />Irb Gaims or de 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 />Ondersi gne d, will assume all responsibility for any damage where delivery is made inside of the curb. <br />WARNING <br />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. 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 lees 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-Mix 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. yl <br />ACCEPTANCE (f Q) <br />Nation's MinFMyix~. Inc. agrees to provide all services and materials indicated on this o V <br />Mini-Mix, Inc. <br />I am a authorized agent of <br />F~ <br />4 <br />Dated <br />