New Search
^ ~ ~ IVatIO/l 5 PLEASE PAY FROM <br /> THIS INVOICE ~ ~ - <br /> ~ Small Yarda a Concrete P.O. Box 8532, Coburg, OR 97408 <br /> INVOICE ' <br /> g (541)686-3031 <br /> f <br /> ,,,1 Date ~ ~ <br /> Sold To ~ t"~.1.,f <br /> ~ <br /> Address <br /> P.O./Job # ~ ~ ~ " .Gf ~G:- <br /> - . - - , Quantity Description Tt~ - <br /> Yards P.S.1 , <br /> Mileage Charge .a.- <br /> <br /> , <br /> I <br /> Stand By Time <br /> ~D B~, Pro ~ T <br /> 11 Overtime <br /> i o < <br /> - ~ <br /> Hot Water vt ~ rP <br /> Admixture: <br /> Slump Air Content 96 <br /> C <br /> ARRIVE LEAVE TIMEON TIME CHARGE <br /> JOB JOB JOB <br /> -PER HOUR TOTAL <br /> 6.C, 4(, DETENTION OF TRUCKS AT THE BUILDING SITE <br /> No claim~o delays encounteelivery will be allowed as aN deliveries are made to tho 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 an 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 defauN of payment, 1 agree to reasonable <br /> attorney's fees and court costs incurced by Nation's Mini-Mix Inc. including these reasonable attorney's fees and ce sin ed by <br /> Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action fs fit - hat the ' <br /> liability is being personally assumed by me unless otherwise indicated bebw and this agreement does not con IN a aY of liability. <br /> ey my signature below, acknowledgment and agreement of the above is hereby made. \ <br /> LIENS 1 <br /> _ Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservafan of the right to n urchaser and <br /> third parties arising under all applicable federal, state'or local laws in the event the prtc s in t when due.. ~ " <br /> I reviewed and approved a cerr~leted copy of this Invoice. ~ - <br /> ACCEPT / <br /> Nation's Mini-Mix, Inc. agr to ovide al serv~ and mate ' ~ on ~ ; <br /> _ f ~ s t <br /> By ~ <br /> Nation's Mini-Mix, Inc. <br /> 1 am a authorized agent of _ <br /> ,,,r ~ <br /> yl. ~ l~ a i <br /> Signed <br /> l Dated ~ ~ <br /> <br />