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? Lebanon Dispatcher (541) 25B-7123 ? Sweet Home (541) 367-6174 ? Springfield (541) 747-1213 ? St. Helens (503) 397-u11 i u - <br /> R(ar~' RSE s~~.S¦ ? Corvallis (541 } 752-3428 ? Albany (541) 928-2547 ? Salem (503) 390-6955 ? Stayton (503} 769-6465 ? Hillsboro -Best Mix <br /> 4..,, MATERIALS GROUP ? Coffin Butte (541) 745-7572 ? Brownsville (541) 466-5899 ? Sherwood (503) 692.8242 ? Angell Ouarry (503) 286-4201 (503) 648-3101 <br /> O Hardrock (541) 745-7572 ? Eugene (541) 689-6600 ? Deer Island (503) 397-4659 ? Gresham (503) 666-5577 <br /> MAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> i'! ' <br /> i-'.. ;t , <br /> TE ADDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER ACCOUNT # CODE <br /> I,fOM R'S REQUEST TAKEN FREE UNLOADING ~Og # j; ~ ~.p ~'(?~~(:l~E." BID # <br /> TIME ALLOWED ON <br /> _ als. to full load ? YES FULL LOADS. SOLD TO TY 1-11' ld~l,~il~:E~~I~~ ' t=fi.l~i b~1C.lf-;~''~~i' <br /> Vials. to 2h load ? YES Additional unloading ) l „t t_:_}),'_'f'~';~i <br /> time charged at current G~t~l»!l ~ ~Y. ~UPI,Y~ <br /> ,'gals. to t~ load ? YES hourly truck rate. DELIVERY <br /> - POINT <br /> ADDITIONAL WATER REASON FOR DELAY TIME: <br /> ADDED TO THIS DATE i f~ ~ > ~ ~n l P.O. ~'I>is~s' ~}l:~l,~ ~ , <br /> CONCRETE WILL REDUCE ? JOB NOT READY _ <br /> STRENGTH. ANY ? LACK OF HELP TIME ; s~~ PLANT PIT <br /> WAT~R ADDED IS ? WHEEL BARROW JOB DRIVER <br /> AT QUSTOMER'S ? WAITING FOR TRUCKTO UNLOAD GROSS ,t r.~i~+' 1 TRUCK # I i ' TRLR # <br /> fbWN RISK. ? ADDING WATER TARE ~ r-fk,,'r 41~ WEIGHMASTERr,I I ' + I,! i(? -1 l <br /> ? ARRIVED JOB EARLY NET '~t~`i~ l krl...u:}.~!< : t;r.; ,'t,'~ 1 I , ( ; <br /> WATER,'REQUESTED BY: ? OTHER SPECIAL INSTRUCTIONS: <br /> MATEp1AL MIX DESIGN; SSD CORFECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> 1"+?@~ . <br /> TRIM <br /> ' WATER GAL/YD. <br /> WATER/ <br /> CEMENT <br /> RATIO <br /> ~ MAXIMUM <br /> ADD <br /> 388 WATER GALS. <br /> PRO UCT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT <br /> yy~~ ~ # 'a 1 .?rye <br /> ~ 'I ~ r..,. ~ <br /> I <br /> <br /> TERMS: -CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> DUE ANDjPAYABLH BY THE 15TH OF MONTH FOLLOWING PURCHASE. A servx:e charge TOTAL <br /> of 1112%j per month, or a minimum of ~~.0~, will be made on the unpaid balance at - v y - r" <br /> the end o1 the following month's billing cyGe. This is an ANNUAL PERCENTAGE RATE OF ,cr r ' <br /> t$%. P~RSONAL NOTICE: We reserve the right to claim lien for all labor and material - ~ _ _ _ _ _ a _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> furnished bn this'ob accordin to OREGON REVISED STATUTE 87.021. - - - - - - <br /> 1 9 RECEIVED BY <br /> FORM 30 Revised 8101 <br /> Initials of Acknowledger <br /> Lebanon Adminietratlon (541) 451.5141 • P.O. Box 7, Lebanon 97355-t>007 3 3 4 8 6 2 <br /> CCB# Q101 ALSO SERVING YOU AT Harcisburg Prestress (541) 995-6327 • Tangent Operations (541) 928-6491 <br /> <br />