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3u3 - 93;3Z-Cpl 731 ~isZOy <br />Nnti®n's PLEASE PAY FROM <br />THIS INVOICE <br />INVOICE sm a Co Crete PO. Box 8532, Coburg, OR 91406 <br />(541) 41) 686.3031 <br />16358. y7 7 <br />r <br />r <br />Sold To <br />_ ` <br />Address I In r <br />RO /Job # -i 1T T~ a ~r ~~t t 7 <br />Date ~ ` /&y <br />Quantity <br />Description <br />_ TOW <br />Yards <br />P.S.1 <br />Mileage Charge <br />7 <br />Stand By Time l.Y,r r` <br />r.I <br />Overtime <br />Hot Water <br />x/~?\~ <br />Admixture. <br />Slump Z/"3 • ~ <br />Air Content 0: <br />% <br />A <br />/ <br />ARRIVE LEAVE <br />JOB JOB <br />TIMEON <br />JOB <br />,J;E°"^RN <br />i <br />~ <br />II <br />, <br />0 1 <br />SC7 <br />J <br />o"y <br />- <br />Z <br />~ <br />PER HOUR <br />TO <br />r <br />i <br />&f l6 DETENTION OF TRUCKS AT THE BUI <br />No claims to delays encountered in delivery will be allowed as all deliveries are <br />ALL ORDERS ARE FOR STREET CUR <br />I the undersigned will assume all responsibility for any damage whore delwv <br />Use of this product wahoul protective clothing could cause bodily mlVeE mPAffgit4KU lie taken to <br />The balance is due and payable on the 10Ih of the told g month <br />t <br />PERCENTAGE RATE OF 24%) well be added to Neu pomg <br />charges listed on ohs Invoice when due, plus any a We tale attorne <br />y's lees antl coup costs incurred by Nation's -Mix y+e d <br />Nelson's Mme-Mix lnc many bankmpicy preding rtn I~M1+E <br />liability is being personally assumed by munless.th. S <br />By my signature below acknowledgment antl agreement e, <br />Nation's Mim-Mi, Inc Concrete Service hereby gives notice of <br />third par ms hosing under all applicable federal, state or local 1 <br />I reviewed and approved a conWleted copy of this Irrvmce. <br />services and materials <br />I <br />p nt of the <br />1 y reasonable <br />cosffi zurre l by <br />iK I goolhetthe <br />rated" of liability <br />1t any and all bens against purchaser and <br />~Qb~ ~cae asedin tills agreement are not peed when tlue, <br />on this Invoical <br />of `/y-J*~G C~ ~ V\ I I ~-'"1 1 <br />