New Search
160W <br />INVOICE <br />Sold To <br />Address <br />P.O./Job <br />xr <br />u <br />t SS <br />Nc7t%O/7 9 P E PAY FROM <br />1WS INVOICE <br />~ P.O. Box 8532, Coburg, OR 87408 <br />Small Yardage Concrete (541) 686-3031 <br />Quantity <br />Descriptioni <br />Total <br />All <br />Yards <br />Mileage Charge <br />Stand By Time <br />Overtime, <br />Hot Water - <br />Admixture,' ' <br />Slump <br />Air Content . % <br />ARRIVE LEAVE <br />JOB <br />f / <br />JG ^1 sc _ <br />TIMEON <br />_ <br />OB I <br />TIME CHARGE <br />, <br />MINUTES <br />PER HOUR <br />OTAL <br />~ <br />P - <br />DETENTION OF TRUCKS AT THE BUILDING SITE <br />d. /,s enc4 /nt a i ivery 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 />1. 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 on the 10th of the following month. After 20 days a LATE CHARGE of 2.01/6 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 reasonabl <br />ai,orney's fees and court costs incurred by Nation's Mini-Mix Inc. including these reasonable attorney's fees and court costs incurre <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 th <br />liability is being personally assumed by me unless otherwise indicated below and this agreement does not to a release of lie - <br />By my signature below, acknowledgment and agreement of the above is hereby made. EUq <br />LIENS ` G (X <br />Nation's Mini-Mix Inc. Concrete Service hereby gives notice of its reservation of the right to asse and all liens ai haseran <br />` third parties arising under all applicable federal, state or local laws in the event the prices state s I not-pai -end _ <br />I reviewed and approved a completed copy of this Invoice. V6 <br />ACCEPTANCE pUG <br />Nation's M' if lix I grass to.pro i e II se and materials indicated !on this Invoice. <br />^7I~ - <br />4 By <br />Nation's in • ix, Iric. - <br />I am a agth zed agent of <br />1 <br />Signed <br />