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? Lebanon Dispatcher (541) 258-7123 ? Sweet Home (541) 367.6174 ? Springfield (541) 747-1213 ? St. Helens (503) 397-0111 Q Sundial (503) 491-4423 <br /> ~S B R~ S¦ ? Corvallis (54i) 752-3428 ? Albany (547) 928-2547 Q Salem (503) 390-6955 ? Stayton (503) 769-6465 ? Hillsboro -Best Mix <br /> MATEAI'ALS fiROUP ? Cottin Butte (541) 745-7572 ? Brownsville (541) 466-5899 O Sherwood (503) 692-8242 ? Angell Quarry (503) 286.4201 (503) 648-3101 <br /> ? Hartlrock (541) 745-7572 ? Eugene (541) 689-6600 ? Deer Island (503) 397-4659 ? Gresham (503) 666-5577 <br /> MAP LOCATE ii BATCH TIME LEAVE PLANT ARRIVE JO(3 BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> I <br /> -"ATE ADDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER ACCOUNT # ;._r.3s~l.~:, i:~ CODE <br /> M R'S REQUEST TAKEN FREE UNLOADING JOB # C; C 1~',°L-i.;(r.Li•~{E BID # <br /> TIME ALLOWED ON <br /> als. to full load ? YES ~ FULL LOADS. <br /> Additional unloading SOLD TO GI t°Y' t;IF t.:ll[if l'~tY.-~t"'l,It,L:il. ~1Uf~i4r: <br /> ~als. to 2/3 load ? YES time charged at current 1-~ I I ur `=1-aL"I PdE~ i <br /> als. to load ? YES hourly truck rate. DELIVERY r.+LtiM'.L I I:.. 4ftl I.N a I <br /> ADDIT ONAL WATER POINT <br /> AD ED TO THIS REASON FOR DELAY TIME: <br /> CONCRE E WILL REDUCE ? JOB NOT READY DATE I,;~,: ~ry } P.O. ~:'~,~+~~1~.' _ i>~t~ <br /> STR NGTH, ANY ? LACK OF HELP .TIME i : PLANT PIT <br /> WAT~R ADDED IS ? WHEEL BARROW JOB DRIVER <br /> AT C,USTOMER'S ? WAITING FOR TRUCK TO UNLOAD CROSS tie:} 1 l t; TRUCK # f i TL sli d t~, TRLR # <br /> OWN RISK. ? ADDING WATER TARE i`"at 1 t> WEIGHMASTERBI~,I. ~ c;(~,l j(II:- ~ t.(,_fi <br /> ? ARRIVED JOB EARLY NET -erv~ ; - _ - ~ n' <br /> WATER REQUESTED BY: ? OTHER SPECIAL INSTRUCTIONS:' <br /> F <br /> MATERI L MIX DESIGN, SSD CORRECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> e311~ r= r <br /> t , , ; 1..:,.~..,,. ~ , , TRIM - <br /> +r, WATER GAL./YD. <br /> WATER/ <br /> f _ CEMENT <br /> 6 '1'9 ~ ~ RATIO <br /> ~ '3 $ $ ~ MAXIMUM <br /> ADD <br /> WATER GALS. <br /> PROD CT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT <br /> 1 <br /> M <br /> TERMS: NE7 i- CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> / <br /> DUE AND PA~'ABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge ~ TOTAL <br /> <br /> of ')1ft% per month, or a minimum of ~1.~0, will be made on the unpaid balance at / <br /> <br /> the end of th following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF TICKET # _ 7c <br /> i8%. PERS~NAL NOTICE: We reserve the right to claim lien for all labor and material ,r- f, ~~f`~~~--#r=~ L.~~---- +k, ~.4'r <br /> tarnished on t 's job according to OREGON REVISED STATUTE 87.021. RECEIVED BY <br /> FORM 30 Revised 8/01 <br /> ' - Initials of Acknowledger <br /> Lebanon Adminietratlon (541) 451-5741 • P.O. Box 7, Lebanon 97355-0007 3 3 5 610 <br /> CCB# 210'1 ALSO SERVING YOU AT Harrisburg Prestress (541) 995-6327 • Tangent Operations (541) 928-6497 <br /> <br />