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Nit%O/7 5 PLEASE PAY FROM <br /> ~ir~Y THIS INVOICE <br /> INVOICE ~ N c P.O. Box 8532, Coburg, OR 97408 <br /> Small Yardage Concrete (541) 686-3031 <br /> _ Date ° f <br /> Sold To - -r`-~,.,,, ' r~ <br /> ,t o <br /> Address <br /> P.O./Job _ f'~. ~ ~ €7` C.%` ~ ~ . . <br /> Quantity Description Total <br /> r: <br /> ~ Yards ~ / P.S.I ~e C~''~ ~ <br /> Mileage Charge StJ~ S7 ~ ~ ~ C(.2,5 ~ <br /> Stand By Time ~ ~ <br /> Overtime <br /> Hot Water <br /> Admixture: <br /> SIumP ~ Air Content o~ <br /> ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JOB <br /> `3~ ,,f~~;`ai' a ~----P~ <br /> o~R TOTAL; t <br /> J 7 DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for delays encountered in delivery will be allowed as all deliveries are made to the best of our abilit~~n <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY ~ (/J~ Vl~, <br /> 1, the undersigned, will assume all responsibility for any damage where delivery is ma i ,th ckrfi'~ ~ ~ - <br /> WARNIN <br /> Use of this product without protective clothing could ca-useb ~ injury: e t e a i nta 'th skin. <br /> TER PA <br /> The balance is due and payable on the 10th of the fdltpwirig.. o ys a C f thly (ANNUAL <br /> PERCENTAGE RATE OF 24 will be added to the unpaid portion oft. . I agree t ~ arantee payment of the <br /> r <br /> charges listed on this Invoice when due, plus any applicable late charge .nth rat of default TIB t, I gree to pay reasonable <br /> attorney's fees and court costs incurred by Nation's Mini-Mix Inc. includin tom 's fe - i d p osts incurred by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the bal a wht a or not clip in court. I agree that the <br /> liability is being personally assumed by me unless otherwise indicated below onstitute a release of liability. <br /> By my signature below, acknowledgment and agreement of the above is her - ~ <br /> LIENS <br /> <br /> Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the nght.to assert any and all liens against purchaser and <br /> hard parties arising under all applicable federal, state or local laws in the event the pricesstated' his,agreement are not paid when due. <br /> viewed and approved a completed copy of this Invoice. <br /> \ ACCEPTANCE <br /> \rt's Mini-Mix, Inc. agrees to provide all services and materials indicated on this Invoice. <br /> ~ <br /> Nini-Mix, Ina <br /> \~d agent of <br /> ~,i ' ~ ~ ~ <br /> Dated <br /> <br />