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i Nation"s PLEASE PAY FROM <br /> ~~~Y THiS INVOICE, <br /> . ` INVOICE 'tic P.O. Box 8532, Coburg, OR 97408 <br /> Small Yardage Concrete (541) 686-3031 <br /> _ Date ~ ' ~ ~ <br /> Sold To~~- > r'~ ~ <br /> r <br /> Address <br /> P.O./Job ~ ~ ~ t„~ ' ~~f <br /> Quantity Description Total <br /> j '~'`'1`~ Yards P.S.I ~ <br /> Mileage Charge - <br /> Stand By Tithe ~Q ~ S L/ G <br /> Overtime ~ G <br /> Hot Water <br /> Adrttixture: <br /> Slump Air Content ~ o~ <br /> P.~.~ ! ~ , <br /> .ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JOB <br /> / .~f MINUTES TOTAL <br /> f i°.. ~ `~i.. ~-PER HOUR ~ ~ t,~ <br /> ~ ° ~ ~ 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 ability and dispatch. - <br /> ALL ORDERS ARE FOR STREET CURB DELIVERY <br /> 1, 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 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 fees and court costs incurred by Nation'sMini-Mix Inc. including these reasonable attorney's fees and court costs incurred by <br /> Nation's Mini-Mix Inc. in any.bankruptcyproGeeding in.collection of the balance due whether or not action is filed in court. I agree that the <br /> liabiltty 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 rightto 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 state agreement are not paid when due. i <br /> 1 reviewed and approved a completed copy of this Invoice. <br /> ACCEPTANCE I <br /> Nation's Mini-Mix, Inc. agrees to provide all services and materials indicated on this Invoice. <br /> ey <br /> Nations Mim-Mtx, Inc. <br /> 09-11-03A07~47 RCVD <br /> 1 am a autl~i~zed agent of <br /> t <br /> Signed s <br /> ~ Dated <br /> 1 <br /> <br /> I~ <br /> J//~ ~ <br /> <br />