Okaloosa County BOCC — September 3, 2013 — Fort Walton Concrete Invoice — reading text

vel. ¥% ZUIS) o1S4ZrM NO.uDII ot. Z Crestview Ready Mix CRM P.O, Box 655 | P.O. Box 655 Fort Walton Beach, FL 32549 FWB, FL 32549 Phone : (850) 256-4116 Fax ; (850) 256-2024 ‘ail — : , OKI601 | - STATEMENT | OKI60L 2 St OKALOOSA COUNTY COMMISSIONERS OKALOOSA'COUNTY COMMISS ~~ 302 NORTH WILSON STREET — CLOSING DATE JRM@ay CLOSING Date Vl SUITE 203 —s CRESTVIEW, FL 32536 INVOICE # DUE DATE 65015 09/26/13 I 10/26/13 Je Min Hell - JOHN GIVEN 99/30/13 09/30/13". ; PAGE PAGE # a 1c — . | 1 : REFERENCE AMOUNT ) INVOICE # | AMOUNT PAID 440.00 | 65015. = a [ TOTAL BALANCE B TOTAL PAYMENT CURRENT DAYS PAST DUE 1-30 | DAYS PAST DUE 31-60 _, 440.00 0.00 0.00 DAYS PAST DUE » 60 TO INSURE PROPER CREDIT PLEASE CHECK THOSE ITEMS BEING PAID IN THE "4" COLUMN, PLEASE FILL IN THE AMOUNT PAID COLUMN iF MAKING PARTIAL PAYMENTS, 0.00 [ Thank you for your business — Parner . eS en ans Se j 4 Q CRESTVIEW READY MIX, INC. Dial 1070 FARMER ST. (850) 682-6117 CRESTVIEW, FL Fax (850) 689-8535 32536 (850) 892-0197 PO. # Job acct Date LOB Name CO? fae [PORE Ce“ ir Deliver To ett of Fy ¥E, or7 Dese, “2 D BY C.0.D. CHARGE BATCHER RIVER TRUCK# 7, “i |l4 YSZ lve On demand without grace | promise to pey the amount specified herein to Crestview Ready Mix, Inc. on order together with a FINANCE CHARGE OF 11/2% on the unpaid balance (or minimum of 25). This is an ANNUAL Percentage rate of 18%, and a reasonable attorney's fee, and ail the cost of collecting this note, if placed in the hands of an attorney. | waive all my rights of exemptions as to personal property under the taws of the Constitution of Florida against the collection of this debt. a cee 2 ’ DESCRIPTION ~~ °°] UNITPRICE]]|°. AMOUNT | = a 4 per? K4"-OT__| B,00\| YYO~O WZZ5 OVERTIME CHARGE tra neersre aren iss im DELIVERY CHARGE usenevrs Strength of concrete Guaranteed Only When Ail Testing is Done By Qualified People, Per Applicable A.S.T.M. Standerds. Gallons of water added at job site per instructions of the undersigned. tb ao detary rc be job cordnona SUBTOTAL YuUp\|aQnd LOT BLK TAX ae 4 oF 7 BALD “UYOLO All deliveries are for street curb delivery, except where the curb and sidewalk are entirely bridged and prolected, and a good road provided to actual point of unloading inside of curb. We will assume no responsibility for any damages where delivery is made inside of the curb. This concrete is delivered at proper working consistency to render strengths as indicated. Wa assume no responsibility for quality of concrete when water is added at job site by purchaser, agent or sub-contractor, or representative of same. LEAVING PLANT ARRIVING ON JOB UNLOADED ON JOB } LEAVING JOB SITE RETURNED TO PLANT B3% [S45 1edg 1/054 Yara 65 04 5 Received By EAS | Wake] ee Se Pre ae ee en ee ee ne a en eee ne Nee See ee Te ee Sena TTY ae eey ean on slags "ll i oot Aig Nato lly dy Zé Sin nate aati 1 atliee = gl ee ti teal ‘ _ a