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q Lebanon Dispatcher (541) 258.7123 ? Sweet Home (541) 367.6174 ? Springfield (541) 747-1213 ? St. Helens t5us! an.-~, , , <br /> IV~O SSE BRAS. p Corvallis (541) 752-3428 ? Albany (541) 928.2547 ? Salem (503) 390.6955 ? Stayton (503) 769-6465 D Hillsboro -Bast Mix <br /> i~AT ERIALS QROUP ? Coffin Butte (541} 745-7572 ? Brownsville (541) 466-5899 ? Sherwood (503) 692-8242 D Angell Quarry (503) 288-4201 {503) 648-3101 <br /> ? Hardrock (541) 745-7572 q Eugene {541)689.6600 ? Deer Island {503) 397-4659 ? Gresham (503} 666-5577 <br /> NAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> . <br /> `ATER~DDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER ACCOUNT # _'~ti: ~ ~ c` CODE + <br /> OME 'S REQUEST TAKEN FREE UNLOADING JOB # ' ` i `-~_='--''-''-`•'1'~~ BID # <br /> TIME ALLOWED ON <br /> gels. to full load ? YES FULL LOADS. SOLD TO t f Y ° 3-i,l-~f k~~: ~ ~ I t' )'`I°~~p <br /> g Is. to 2/3 load ? YES Additional unloading I , , E ; ,1, I <br /> time charged at current t_'Jf"~d. )~~~~;I,r. <br /> Is. to tF~ load ? YES hourly truck rate. DELIVERY <br /> ADDITI NAL WATER PolNr <br /> ADD~DTOTHIS REASON FOR DELAY TIME: <br /> CONCRETE WILL REDUCE ? JOB NOT READY DATE i t ~ ~ ; 4 P.O. i ~;?I <br /> STRI~NGTH. ANY ? LACK OF HELP TIME ? : a ~ PLANT PIT <br /> WATER ADDED IS ? WHEEL BARROW JOB DRIVER <br /> AT CUSTOMER'S ? WAITING FOR TRUCK TO UNLOAD GROSS , , `+R:" 1. TRUCK # _ { i~ ; ; , TRLR # <br /> OWN RISK. ? ADDING WATER TARE = , r ;HI.~ ; d~, WEIGHMASTER~ f?~ ~ ~ <br /> ? ARRIVED JOB EARLY NET 11 1 is=t.. t:, i= j~ ~ t~'s~ c.•±i~:, . ~.t: s <br /> WATER piEQUESTED BY: ? OTHER SPECIAL INSTRUCTIONS: <br /> i <br /> i <br /> MATER AL MIX DESIGN, SSD CORRECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> • <br /> TRIM <br /> WATER GAL./YD. <br /> WATER/ <br /> CEMENT <br /> a k ~t'a RATIO <br /> _ l ~ ~ MAXIMUM <br /> 3 g 8~o ADD <br /> WATER GALS. <br /> PRO UCT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT <br /> ~i ' ~ , <br /> I <br /> ~ F# <br /> <br /> TERMS: ET -CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> DUE AN PAyABL.E BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service ch$rge <br /> <br /> of 11f2° per month, or a minimum of $1.D~, will be made on the unpaid balance at ~ TOTAL <br /> <br /> the end pf the following month's billing cyGe. This is an ANNUAL PERCENTAGE RATE OF "r---- ! <br /> p <br /> 1 0. <br /> <br /> furnishedERSONAL NOTICE: We reserve the right to claim lien for alt labor and material ~ L,,,,,,,,..fic,•_ _ - <br /> on this joD according to OREQON REVISED STATUTE 87.021- - - - - - - - - - - - - - - - - - <br /> RECEIVED BY FORM 30 Revised 8/01 <br /> Initials of Acknowladger <br /> Lebanon Adminietretion (541) 4515141 • P.O. Box 7, Lebanon 97355-0007 ~ ~ e ~ C <br /> CCB# 2101 ALSO SERVING YOU AT Harrisburg Prestress (541) 995-6327 • Tangent Operations (541) 928-6491 ("f o v <br /> <br />