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955184 Egge Sand & Gravel Inv#1080509
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955184 Egge Sand & Gravel Inv#1080509
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Last modified
10/27/2011 11:28:49 AM
Creation date
1/28/2011 2:22:53 PM
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PW_Capital
PW_Document_Type_Capital
Invoices-Payments & Receivables
PW_Active
Yes
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No
GJN
N/A
GL_Project_Number
955184
Identification_Number
2008015475
Document_Number
955184
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CUSTOMER <br />Warnin :Injurious toeyes.Cause In tion.ContainsPortlandCement. <br />Re;d the following warning before using: Con rth~ nhardened concrete, mortar, cement or cement <br />en otAspha voidltemitsnui- <br />ace breathing <br />s. A <br />Asphalt may cause <br />es <br />ill f <br />mixtures can cause skin irritation, severe'chemical'8ums.or mhous eye damage. Avoid contact with dyes and. <br />. <br />vere. ns. Wear protective <br />- <br />skin: WearwaterprooTgloves, aYully-buttoned; long=sleeve shirt, full-length trousers and tight-fitting eye Protection <br />use waterproof boots that are'tight at the . <br />If you have to stand.in wet concrete <br />w <br />th these materials <br />wh <br />n working <br />safety gear (long sleeves, ppants <br />cool.with <br />and gloves). If burned <br />" <br />, <br />i <br />. <br />e <br />: <br />top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. , <br />, <br />..water and see a physician <br />After contact with any of these materials, wash off immediately with, fresh, clean water. Indirect contact through <br />clothing is as dangerous so ppromptly rinse these materials from clothing. Seek immediate medical attention if you ' <br />flush with plenty of water for at least 15 minutes. _ <br />in case of eye contact <br />have persistent or severe discomfort <br />Warning Prolonged Inhale- <br />`tions • of dust" from -a gravel, <br />. <br />F UN O DINGe 71 2 <br />minutes per bic yard of <br />Ch <br />h <br />, <br />. <br />Consult physician immediately. KKEEP ,OUT OF REACH OF-CHILDRENI USER AGREES TO CONVEY THIS. . <br />USE, OR COME INTO CONTACT WITH WET (UNHARDENED) ` <br />WARNING TO ALL PERSONS. WHO MAY <br />' product may be hazardous to <br />our health <br />u <br />t6control <br />b <br />ere <br />concrete. <br />arge t <br />t tndb time <br />after at <br />k <br />posted <br />u <br />T <br />k <br />ndb <br />time <br />t <br />t <br />. <br />e taken <br />st sho <br />ld b <br />fugitive dust should <br />e taken <br />s <br />r <br />c <br />y <br />ra <br />es. <br />ruc <br />s <br />a <br />CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES.' <br />when handling'this product. <br />charged at posted truck <br />time rates. <br />WATER• ADDED AT CUSTOMER'S OWN RISK' , Property Damage' Indemnification'' & Release _ <br />ADDITIONAL" WATER ADDED TO, CONCRETE WILL REDUCE ITS STRENGTH The operator :of,this piece of heavy, equipment, in presenting this <br />LIMITED WARRANTY <br />Buyer's agent agrees to accept responsibility for reduced strength due to water RELEASE toyou foryour.signature, isoftheopinion that theoperabon <br />The only liability of the <br />added above design. of this machinery in the manner required to perform our contract with <br />seller for product defect-is <br />Arrived atjobwith' inch slump. you may possibly cause damage to the premises or property. It is our <br />h <br />d <br />i <br />n <br />the,retum of the purchase <br />I <br />h <br />ll th <br />e <br />i <br />everyway that we can, but in order to <br />o th <br />s, t <br />e <br />Test wish to help you i <br />n no <br />vent s <br />a <br />ce. <br />e <br />pr <br />Added al water of customer request.. , c <br />linders operator is asking that you sign this RELEASE. <br />seller be liable for any di- <br />y <br />rect, indirect, incidental or <br />.Other additions taken In consideration of the performance of the seller of its contract with <br />consequential damages <br />resulting from the ure of <br />me, I the undersigned, hereb INDEMNIFY the seller and its <br />RECEIVED Y <br />the products or arising out <br />BY X employees for any damage and for all claims to the premises, building, <br />of breach of any warranty. <br />Buyer's Agent receipt of product and approval of any added items. utility pipelines or cables, telephone lines,-driveway or other appurte- <br />nances, at: <br />All claims for damages or <br />shortages must be made <br />within 24 hours of <br />Product Damacle indemnification A Release <br />delivery:Wedonotassume <br />The addition of any extra products to our mixer may void any warranty expressed and RELEASE; the seller and its employees from any liability. <br />responsibility for any dam- <br />age beyond the curb line. <br />or implied by the seller. The seller accepts no liability for any personal Injury <br />incurred by you while adding additional products to our mixer. <br />Signature of Own <br />NWG DEL TKT 06/05 <br />Si nature of Owner or Its Agent <br />Leave Plant Arrive Job Site I <br />Start Discharge <br />Finish Discharge' <br />"Leave'Job Site <br />Arrive Plant <br />GGE SAND AND G <br />RAVEL;. <br />0520 COBURG RO <br />AD <br />DRIVERS' <br />'UGENEI OR 974 <br />08-9467 <br />COMMENTS <br />c <br />` <br />OrderNo. Cust. No. Company/CustomerJob Customer PO / Phase Code TICKET NO. <br />" Driver <br />- <br />ompany roje o. <br />350003 . 44346- RICK/86:,8-r-, q dB <br />X15- t+ '~J0.28E,8S UNASSIGNED <br />o <br />r <br />D <br />e <br />e (v <br />ry reSS _ <br />" Customer <br />a <br />s <br />((.r TY F. UGENE MARKS DEFT' CITY OF EUGEhIE / HAULED BY C. A. D. / <br />Oe,very Insguctio <br />rP <br />03/j„~08 <br />1 <br />E1 <br />Scale <br />Time: <br />12:08 <br />Load Delivered Qty OrderQty Pro uct o e UOM roduct escnptlon rn rice.: <br />Amount <br />5.43 18.20 1.5. 00 2800 t n LOAM <br />v O <br />312 X15 Oiqob <br />' <br />Gros e /rv' <br />Tr <br />k e 43280 10830 Drge <br />TrI <br />PREY TRUCK: CAD4 CHECK / CREDIT CARD <br />oad ¢e No. e'scription Slump Type `CC Use HaulCd. Pit/Plant . Sales Tax <br />TOTAL DUE <br />Truck Gross Weight Tare Weight Trailer Trailer Taken by C heck # <br />' CAD4 21. 64 16.21 4227 <br />j <br />
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