C~ <br /> E <br /> Nation ~ PLEASE PAY FROM _ <br /> THIS INVOICE <br /> . ti <br /> ' I NVD I v E Small Yards a Concrete PO. Box 8532, Coburg, OR 97408 <br /> ~ S (541) 686-3031 <br /> <br /> ~ Date • <br /> <br /> f Sold To 1~~T!~€.~ ~if~,~llt~' <br /> <br /> i <br /> <br /> I Address ~J~-` ~ ~rr,r C.ra,~~";!~ <br /> P.O./Job#'7d.~"~°7f~d'.'~J~ n~-~(~-(~ ~pr,'n,~ ~N <br /> <br /> ~ Quantity Description Total <br /> <br /> I <br /> Yards P.S.1 ~ . -a . <br /> f Mileage Charge <br /> Stand By Time C ~ <br /> ~VefGIT18 31 3 3~ S~C~S <br /> Hot Water <br /> Adrnixture: F <br /> Slump ~ Air tsfx)tent " ~ 96 <br /> 1 r 'r ~11~ <br /> ARRIVE SAVE TIME ON ' TIME CHARGE <br /> JOB J08 JO& <br /> MINUTES TOTAL <br /> ' f~~ j (~-PER HOUR ~ <br /> pg ~Cy DETENTION OF TRUCKS AT THE BUILDING SITE <br /> N la s for delay 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 ~~~I <br /> I, the undersigned, will assume all responsibility for any damage where delivery Is made Inside of the curb. <br /> i WARNING <br /> Use of this product without protective clothing could cause bodily injury. Every ettoR 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. Attar 20 days a L9TE CHARGE of 2.0% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24q) will be added to IhA 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 dY"r l <br /> ' attorney's fees and court costs incurred by Nation'sMini•Mix Inc. including these reasonable attomey's fees and court costs incurred by ~ C~ff1f ~ j~/1 I S( /~~y <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 iC~/ • / lJ 6 (J ~ f,,~, <br /> liability is being personally assumed by me unless otherwise indicated below and this agreement does no ase of liability. - ~j <br /> By my signature below, acknowledgment and agreement of the above to hereby made. ~ `q fi~~//J/ <br /> LIENS `,,:w ....f~ S,~-....... <br /> Nation's Mini•Mix Inc. Concrete Service hereby gives notice of its reservation of the right to assert y an I I ainst p er and ~ ~ /l~ <br /> ' thiW parties arising under ell applicable lederal, state or local laws in the event the prices stated i his titre~~ i n due. ~ ~w CJ <br /> I reviewed and approved a completed copy of this Invoice. ~ - ~~~e ~ <br /> ACCEPTANCE 9i <br /> Nation's Mini•Mix, Inc. agrees to provide all services and materials indicated on this Invoice. - <br /> 6y ! ~ ? G~ <br /> Nation's Mini-Mix, Inc. ) <br /> ,~F <br /> I ant a authorized agent of <br /> , ~ . <br /> r <br /> Sign Dated <br /> <br />