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IVc'~t/O/7 6 PLEASE PAY FROM <br /> THIS INVOICE <br /> ~ ti P.O. Box 8532, Coburg, OR 97408 <br /> yu`~ INVOICE. small Yarda a Concrete <br /> g ~ (541)686-3031 <br /> ~ t <br /> ~ ~ Date ` ~ ~5. <br /> Sold To C....,~ ~ ~ ~ - <br /> Address ice- ~ z~ <br /> P.O./Job ~ ~ ~ - <br /> Quantity Description Total <br /> Yards P.S.I ~ t;,~ _ . <br /> Mileage Charge <br /> Stand By Time 5~ 15~{ , <br /> . dveltime ~ k <br /> Hot Water ~f~ <br /> Admixture: . <br /> Slump Air Content ~ _ % <br /> ARRNE LEAVE TIME ON TIME CHARGE <br /> > JOB JOB 008 ' <br /> -PER HOUR TOTAL ~ ~ ~i <br /> ~r ~ ~ 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, wilt 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. Alter 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. l agree to pay and/or gu ntee payment of the <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of defauH of payment, I may reasonable <br /> attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney's f costs incurred by <br /> - Natbn's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not a " n ` court.) agree that the <br /> liability is being personally assumed by me unless otherwise indicated bebw and this agreement sot ' ute a release of liability. ,1 <br /> <br /> _ By my signature below, acknowledgment and agreement of the above is hereby made. 6 i ' <br /> LIENS - . <br /> Nation's Mini•Mix Inc. Concrete Service hereby gives notice of its reservation of the n' a nst purchaser and <br /> third parties arising under all applicable federal, state or local laws in the event <br /> ~~egriEgbr a 'n r not paid when due. ~ . <br /> 1 reviewed and approved a.eompleted c~+py of this Invoice. 1, /1'/ <br /> i ` J AC NCE <br /> Nation's Mini-Mix, ~ ees to pr~ de all s` rites and _ voice. : <br /> - ~ i <br /> Nation's Mini-Ma, Ina ~ ~ <br /> 1 am a authorized agent of ~,;~~L. ; <br /> f <br /> Signed ~ Dated ir.: , <br /> <br />