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~ _ ? Lebanon Dispatcher (541) 258-7123 ? Sweet Home (541) 367-6174 r ? Springfield (541) 747-1213 ? St. Helens (503) 397-0111 ? Sundial (503) 491-4423 <br /> i~'bLR~IE 8 ROS. ? Corvallis (541) 752-3428 ? Albarry (541) 928.2547 ~ d.Salem (503) 390-6955 ? Stayton (503) 769-6465 ? Hillsboro -Best Mix <br /> MA7S1?IALS GAOUP ? Coflin Butte (541) 745-7572 ? Brownsville (541) 466-5899 ? Sherwood (503)692-8242 ? Angell Ouarry (503) 286-4201 (503) 648-3101 <br /> ? 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 /> "V T ADDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER ACCOUNT # ,;'i; f €i CODE r{ <br /> r„~ON~ER'S REQUEST TAKEN FREE UNLOADING JOB # t:° f ;"Yr:_?, t1~~1:.4•±+?` BID # <br /> TIME ALLOWED ON <br /> gals. to full load ? YES FULL LOADS. <br /> 2 Additional unloading SOLD TO UTT1r' €31 El)i:iL.N~-L'~.i~:;Q_~~: Wf!~?4ti:' <br /> ,gals. to ~ load ? YES time charged at current I) ' ~:,1.91,'i`.:I``,I= <br /> _ gals. to'f~ load ? YES hourly truck rate. DELIVERY `I'IS~ ~ L~' '~(J~'I'~ <br /> ADDITlIONAL WATER POINT <br /> ADt~EDTOTHIS REASON FOR DELAY TIME: <br /> CONCRE E WILL REDUCE ? JOB NOT READY DATE s f't= ~'~;".'C!t ~ P.O. ~°.~Il,;i;w,' ,~,,}„j•y, : -e <br /> STR NGTH. ANY ? LACK OF fiELP TIME i : j PLANT PIT <br /> WAT R ADDED IS ? WHEEL BARROW JOB DRIVER <br /> AT USTOMER'S ? WAITING FOR TRUCK TO UNLOAD GROSS , ~ >4 ~ h TRUCK # ; • ; ; ; j TRLR # <br /> N RISK. TARE ~ WEIGHMASTER) <br /> ? ADDING WATER t r3f 7 h :11'[ I I(~l .I I:_:,_j; <br /> ? ARRIVED JOB EARLY NET ~ ~ ; y f ,t, <br /> WATER EQUESTED BY: ? OTHER SPECIAL INSTRUCTIONS: <br /> MATERIAL MIX DESIGN, SSD CORRECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTEb AMOUNT <br /> . <br /> TRIM <br /> WATER GAL./YD. <br /> Y~I . <br /> ~ O ~ ~ ~ WATER/ <br /> CEMENT <br /> G`~'~ 3$$~ RATIO <br /> MAXIMUM <br /> ADD <br /> WATER GALS. <br /> PROD CT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT <br /> r <br /> TERMS: NET ~ CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALE3 <br /> DUE1A oD PA~ABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge TOTAL <br /> <br /> of 1 rt /o pe month, or a minimum of ~1.D0, 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 ~ ~ - " <br /> TICKET # v 4?r <br /> 18%. PERSbNAL NOTICE: We reserve the right to claim lien for all labor and material 1 / >~j <br /> furnished on ttus job acccirding to OREGON REVISED STATUTE 87.021. - - - - - - - - - - - - - - - - <br /> .r%~ RECEIVED BY FORM 30 Revised 8/01 <br /> • Initials of Acknowledger <br /> Lebanon Adminletretion (541)451-5141 • .Box 7, Lebanon 97355-0007 3 3 5 6 4 0 <br /> CCB# 210'1 ALSO SERVING YOU AT Harrisburg Prestress (541) 995-8327 • Tangent Operations (541) 928-6491 <br /> <br />