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- <br /> - ; <br /> Nc~t%O/7 5 PLEASE PAY FROM <br /> nr THIS INVOICE <br /> ¦ N C_ <br /> INVOICE Small Yardage Concrete P.O. Box 8532, Coburg, OR 97408 <br /> (541) 686-3031 <br /> k <br /> f ~ " Date _ - y <br /> Sold To r, r ~ r'.'l ~'c~,~rF~~~-,...~~ 1 <br /> 1 <br /> a ~ ) °'i ~:f ~^~i ~ <br /> k F <br /> Address cam`. ~ ;,,e,,4~~----~.~..~~,. <br /> ,E <br /> P.O./Job # ~ ~ 1 C~3 <br /> ~ f <br /> Quantity Description Total <br /> ~l Yards ~ . , t:._. - <br /> P. <br /> S.Iw„-~ t~~`~ ; . <br /> - <br /> Mileage Charge <br /> stand By r C D 8 ~ <br /> ~ra ' ~e c.'C- <br /> Overti 5~ I <br /> Ha W ter <br /> i <br /> D l< a a <br /> Ad ' <br /> ml <br /> xt r <br /> u e. <br /> Slum - <br /> p <br /> , Air Content o,~ <br /> ' ~ <br /> r ,fl <br /> I ARRIVE LEAVE TIME ON TIME CHARGE <br /> JOB JOB JOB ;:'yes <br /> ` ~-P~a <br /> HouR TOTAL r ~r'~-~ <br /> _ <br /> ~a^'~ DETENTION OF TRUCKS AT THE BUILDING SITE l <br /> No claims for delays encountered in delivery will be allowed as all deliveries are made to the best of our ability and dispatch.l <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 /> Use of this product without protective clothing could cause bodilyR <br /> jury. Every effort should be taken to avoid contact with skin. <br /> The balance is due and payable on the 10th of the fe~low!ng monh.YAtteN20 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 tees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attomey'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 /> 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 /> 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 /> <br /> i I reviewed and apprgved a cofxipleted copy of this Invoice. i <br /> . .3~ ~ <br /> .ACCEPTANCE <br /> - Nation's Miq xr Inc. a rees to p~¢vide all services and materials indicated on this Invoice. <br /> i B f/ <br /> Nabon slfuhrn Mix Inc r^ j <br /> am a authorized agent of , e r ~..t...~ t <br /> Signed ~7 ~ <br /> 1 ~ a ~ ~ ~ ~ Dated <br /> _ SAT ~,`!wlr~/U <br /> I <br /> <br />