New Search
Nation"s PLEASE PAY FROM <br /> I~~~ ~ THIS INVOICE <br /> P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE Sm ~ r oncrete (541)686-3031 <br /> ~ ~ V Received ~ <br /> - p~ 92002 ~ ~ _ ~ ~ <br /> gate <br /> Sold To r A f~ I~~ '~-'"`c/ <br /> W <br /> Address <br /> <br /> • P.O./Job # <br /> Quantity Description Total <br /> r cf Yards .1 <br /> M'Ileage Change <br /> Stand By Time 0 ~L. 'C-a <br /> ' Overtime i q X <br /> ? Hd Water, <br /> f Admixture: <br /> r <br /> <s <br /> Slump Alr CC,,n~t? f / 96 <br /> rJ~ d J <br /> l~ <br /> ARRIVE LEAVE TIME TIME CHARGE <br /> .,oB ~oB ~e TOTAL <br /> ~ f DETENTK)N OF TRUCKS AT THE BUILDING SITE <br /> t;.. <br /> No claims for delays encountered in delivery will be allowed as ell deliveries are made to the best of our ability and dispatch. <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> I, 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 101h of the tollowurg month. After 20 days a LATE CHARGE of 2.0% monthly (ANNUAL <br /> PERCENTAGE RATE OF 24 will be added to thA 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 appl'x:able late charges. In the event of default of payment, I agree to pay reasonable <br /> attorney's fees and court costs incured by Nation's Mini-Mix Inc. including these reasonade 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 /> kability 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 /> DENS <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of tts reservatron of the right to assert any and all Nens against purchaser and <br /> third parties arising under all applicable federal, slate or local laws in the event the prices stated'm 1Ms agreement are not paid when due. s <br /> 1 reviewed and approved a completed copy of this Invoice. <br /> ACCE C rcJrAi~O~~`-J~ <br /> Nation's Mini-Mix, In agr s to provide all se ri ateri i <br /> By ~ <br /> Nation's Mini-Mix, Inc. <br /> 1 am a authorized agent of ~ ~ v <br /> Dated <br /> <br />