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T <br /> iI { <br /> PLEASE PAY FROM <br /> Nc~t%O/7 5 1 <br /> - ~~~Y THIS INVOICE <br /> r <br /> ' P.O. Box 8532, Coburg, OR 97408 f <br /> NV~ ~ C E Smail Yardage Concrete (541) 686-3031 ~ <br /> 05-20-03P12~59 RCVD <br /> I Date < r,~t,>- ~ jj <br /> Sold To t~ ~ ~ _ r;' 1 <br /> Address ft ~ ~ rl 6~.~i ~ ~ F~,I <br /> P.O./Job # ~ <br /> ir"'ti:~ `7.a' C:3 ~ ~ '.i t~ "'{F r~''_ <br /> Quantity Description Total <br /> I ~a <br /> ~ f~~ Yards P.S.I ~ <br /> Mleage Charge <br /> <br /> Ii Stand By ~3~16ti Qr o rime.-r' <br /> Overti 3~-• ~ 1 S'S <br /> Hot Wa ~d C <br /> Admixture: <br /> Slump r;, " Air Content % <br /> , <br /> ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JOB <br /> MINUTES .TOTAL ° ~ <br /> f ~-PER HOUR <br /> i ~ ljr ~ f 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 /> 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 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 /> I charges listed on this Invoice when due, plus any applicable late charges. In the event of default of payment, I agree tb 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 /> C Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action is filed ih 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 /> DENS <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 completeOicopy of this Invoice. <br /> 11 E ACCEPTANCE <br /> Nation's Mini-Mix, Inc. agrees tb 4 wde all services and materials indicated on this Invoice. <br /> ~'~f r <br /> gy i r ~ +"-f Gff'1~ ~ f <br /> Nation's Mini-Mix, Inc. ' <br /> ~ I am ~uthodzed agent of ~ - <br /> ii~% ~ ~ <br /> Signed Dated ; <br /> ~v~ <br /> m . <br /> - _ - <br /> <br />