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. ~y~4 <br /> i - . <br /> I <br /> t PLEASE PAY FROM <br /> Nation s <br /> ~~~Y THIS INVOICE <br /> ¦ c_ PO. Box 8532, Coburg, OR 97408 <br /> INVOICE Small Yardage. Concrete (541)686-3031 <br /> j Date j <br /> Sold To ~ `mil d~ <br /> Address .~r.~l.'+~~,.~ f,,~.~U''~.,." <br /> P.O./Job # ~C3 ~ ~ ~ <br /> Quantity Description Total <br /> _ t~' <br /> <br /> ' ' I Yards P.S.I <br /> I <br /> _ ! Mileage Charge <br /> i <br /> Stand B Time <br /> Y <br /> O <br /> S <br /> I <br /> " overtime OK ro P - <br /> ~t ..4.e <br /> I Hot Water - <br /> Adrnixture: <br /> ' Slump r an ~ % <br /> rt. <br /> t, <br /> ARRIVE LEAVE TIME ON TIME CHARGE . <br /> ~ JOB JOB JOB MINUTES TOTAL <br /> PER HOUR <br /> 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 /> WARNING <br /> Use of this product wHhout protective clothing could cause bodily injury. Every effort should be taken to avoid contact ith s <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° y (ANNUAL - <br /> ~ PERCENTAGE RATE OF 24q) will be added to the unpaid portion of the balance due. I agree to pay and/or gu nt of the r: <br /> charges listed on this Invoice when due, plus any applicable late charges. In the event of defauk of payment, I nable t' <br /> attorney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable affomey's fees r. by j <br /> j Nation's Mini-Mix Inc. in any bankruptcy proceeding in collection of the balance due whether or not action ~ ' u I ~ t ;the ~ ~ ' <br /> i liability is being personally assumed by me unless otherwise indicated bebw and this agreement does n t ~ a r _ f 'lity. j _ . <br /> I B m si nature below, acknowl ment and a reement of the above is hereb made. t <br /> Y Y 9 ~9 9 Y <br /> 1 LIENS ~ ~ <br /> F F`` <br /> j Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservatron of the right to assert II li a ~ fid _ . . <br /> I third parties arising under all applicable federal, state or local laws in the event the prices slate ree id .flue. <br /> _ I I reviewed and approved a completed copy of Itlts Invoice. ~ - <br /> ACCEPTANCE is <br /> Nation's Mini-Mix, Inc. o provide serv' sand materials indicated Qit~th' ' e <br /> ` ~ j. <br /> B <br /> I Y <br /> _ ~ Nation's Mim-Mix. Inc. p <br /> i I am a authorized agent of ~ ~ <br /> . ~ f'' ~ r <br /> } <br /> ~ Signed t)ated i <br /> - ~ <br /> <br />