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i <br /> :IVt~t/O/7 5 PLEASE PAY FROM <br /> Y~nr~~ THIS INVOICE <br /> INVOICE ~ ti c P.O. Box 8532, Coburg, OR 97408 <br /> _ Small Yardage Concrete (541) 686-3031 <br /> ` t, ; r Yl _ . ~ Date J~ '~,j 4-~I <br /> . Sold To _ ~ %.-'~/~'~~r'~"~r <br /> s~ <br /> t S t 7 <br /> J <br /> Address / - ~ r ' "'~-j~~-"'-^'--~~a'1, <br /> ~ ~ <br /> P.O./Job ~ ~1 ~ ~ rr ~ ~ ~ 1~ ~ J i <br /> Quan' <br /> ~Y Description Total <br /> J r' Yards - P.S.1 ~ f ~ ~ ~ . <br /> f <br /> ~j <br /> ' Mileage Charge J <br /> <br /> l <br /> Stand ey Time Sa ~ 5 ~ c n 8~~ Po 'ec.4- <br /> Overtime t~k <br /> O <br /> Hot Water • t <br /> Admixture: <br /> ' <br /> ' Slump ` Air Content 0,6 <br /> .f <br /> t~ <br /> r, <br /> ARRIVE LEAVE TIME ON TIME CHARGE ' <br /> JOB JOB JOB <br /> MINUTES ~ <br /> j i l f <br /> ' TOTALS <br /> -PEA HOUR t. f <br /> t r / <br /> . 1 , <br /> ' 1~ Vf'~ ~ = t' £ DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claims for dtslays'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 /> 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. Atter 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 [o pa reasonable <br /> a Y <br /> itorne f <br /> 's ees and court cos <br /> 't Y is incurre , <br /> db <br /> Nation sMmi-MFx Mc-mcl <br /> Y udmg these reasonable affomeys 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 /> > 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 /> LIENS <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 /> reviewed and approved a completed copy of this Invoice. <br /> ~ ACCEPTANCE ~ <br /> Nation's Mini-Mix, Inc. agrees to provide~(I geivices and materials indicated on this Invoice. <br /> Nation's Mini-Mix, Inc.. t ~~f <br /> 1 I am a authorized agent of J <br /> r1 ff f t Si ~ 333 <br /> Signed Dated <br /> i <br /> ! ' <br /> - ~~~0-zC~ ~ <br /> Z~ <br /> .~_1 ?-OCR ~ <br /> ~ <br /> _ „ <br /> <br />