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? Albany (541) 928-2547 T ? Corvallis (541) 752-3428 O Hardrock (541) 745-7572 ? St. Helens (503) 397-0111 ? Slayton (503) 769-6465 <br /> ~,n BROi7 ? Angell Quarry (503) 286-4201 ? Deer Island (503) 397-4659 ? Hillsboro -Best Mix ? Salem (503) 390-6955 ? Sundial (503) 491-4423 <br /> ,n o7• ? Brownsville (541) 466-5899 ? Eugene (541)689-6600 (503) 648-3101 ? Sherwood (503) 692-8242 ? Sweet Home (541) 367-6174 <br /> AsK a ort+~~ ? Coffin Butte (541) 745-7572.' ? Gresham (503) 666-5577 ? Lebanon Dispatcher (541) 258-7123 ? Springfield (541) 747-1213 <br /> MAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> ATE I ADDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER A ~ i " ' <br /> CCOUNT# CODE <br /> OM~R'S REQUEST TAKEN °RREE UNLOADING JOB # 1 ~ BID # <br /> TIME ALLOWED ON <br /> FULL LOADS.. <br /> Is. to full load ? YES f UCEIW~ t~ I T Y DC --i"'tJf3L I f~ ' Wt]f2k ~ a <br /> Additional unkSadin~ ~ ,7 ~ <br /> _ ~~als. to ~i'3 load. ? YES SOI ,D; TO N <br /> time charged at current ~`i ; ~ ,~i~1P'll_i~l_ +~U+71 Iw <br /> ~jals. to'.'~ load ? YES hourly truck rate. ~Idr~4~-~1~15f1 ' o}C <br /> DELIVERY W <br /> POINT y <br /> ADDITI NALWATER REASON FOR DELAY TIME: - W <br /> ADD DTOTHIS ? JOB NOT READY DATE , ~ t.~; P.O. ~~+,~+kti4 -~I~! ~ 1 o <br /> CONCRET WILL REDUCE ? LACK OF HELP TIME i k~ : ~ ( PLANT F_'-f ~~f, j ~ PIT Ip~ <br /> STRE GTH. ANY DRIVER <br /> WATE ADDED IS ? WHE~ BARROW JOB <br /> AT CU TOMER'S ? WAITING FOR TRUCK TO UNLOAD GROSS t`s~U 11-aTRUCK # l.: t °t'E:I fi.;v~(:5 TRLR # <br /> 0 NRISK. ? ADDING WATER TARE :tE,, ir,~i~'tbWEIGHMASTER r;r~E:[, <_:,[;ttc?r :rE [ Ir <br /> ? ARRIVED JOB EARLY NET 1~ f}4tc~ 11-~L-oa~~~ : (ic-c+a91. ; 1.=+ T+~;n <br /> WATER QUESTED BY: ? OTHER SPECIAL INSTRUCTIONS: hlr.~ <br /> MATERIA ' Mlhr' DEIGN, SSD CORRECTRON DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> r".C+r1~. <br /> TRIM <br /> WATER GAL./YD. <br /> r <br /> ~1` <br /> ' WATER/ <br /> CEMENT <br /> ~~..J <br /> RATIO <br /> I <br /> MAXIMUM <br /> D <br /> > C~ <br /> i . <br /> 7i ~ ~f ~7 ~ ~ GZ~~ ! ~~~Z TER GALS. <br /> 3 <br /> . <br /> PRODUC # PRODUCT DESCRIPTFON QUANTITY UNITS UNIT PRICE AMOUNT <br /> _ , <br /> ; <br /> S 1 ' . <br /> r <br /> d- t~(_`#a. tom- x' <br /> ~ ~ <br /> .:..FLAN... ~1~+y,• <br /> <br /> c ° SH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> <br /> 1 i~°~ PAYAr6~E BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge s?' " t s/j 11 <br /> RMS: NET - glnth, or a minimum of $1.~0, will be made on the unpaid balance at TOTAL <br /> <br /> a end of the foil ing month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br /> <br /> 8%. PERSON~L NOTICE: We reserve the ri ht to claim lien for all labor and material ~ TICKET # j, c'.~' ~ 1ZIar4`" <br /> <br /> mished on this jo I according to OREGON REVISED STATUTE 87.021. ' ' <br /> RECEIVED BY FORM 30 Revised 9/03 <br /> • Initials of Acknowledger 1 ~ 510 8 5 <br /> Adminl•trstive (croup (541)451-5141 •32260 OW Hwy 34,Tanysnt, OR 97989 <br /> <br /> ;CB# 2101 ALSO SERVING YOU AT Harrisburg Prestress (541)995-8327 • Tangent Operations (541) 928-6491 <br /> <br />