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O <br />D Albany (541) 928-2547 <br />D Angell Quarry (503) 286-420 ' <br />D Corvallis (541) 752-3428 <br />D'Deer Island (503) 397-4659 <br />❑ Hardrock (541) 745-7572 <br />D Hillsboro - Best Mix <br />D Reichhold (503) 366-5900 <br />9t. Helens (503) 397-0111 <br />D Springfield (541) 747-1213 <br />D Sta <br />ton (503) 769-6465 <br />MBt <br />541 466-589 Eu ene 541 689-6600 <br />p Brownsville ( ) g ( ) <br />(503) 648-3101 <br />Mm (503)390-6955 <br />y <br />❑ Sundial (503) 491-4423 <br />h Coffin Butte Y5411745-757 <br />Gresham (503) 666-5577 - <br />n Lebanon Disnatrher1541)PSR-7123' <br />rwnnrlY5n31R99-R9G2 <br />MAP LOCATE <br />ATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB - <br />ARRIVE PLANT <br />WATER ADDED. AT <br />TEST CYL. <br />6 MINUTES PERYARD <br />CUSTOMER ACCOUNT # .31878 <br />CODE <br />CUSTOMER'S REQUEST <br />TAKEN <br />FREE UNLOADING <br />JOB-# 12517 BID <br />gals. to full load,. <br />. ❑ YES <br />TIME ALLOWED ON <br />_ FULL LOADS. <br />OE5t FrC <br />- " <br />` <br />SOLDTO EUGENF CITY OF ~'LIRi C <br />Cr•W(FfK~ <br />z <br />gals.. to, /3 load <br />❑ YES <br />Additional unloading <br />, <br />ANNUAL QUOTE <br />2007 <br />time <br />at <br />current <br />. <br />. <br />gals. to 1/3 load <br />❑ YES <br />truck <br />rate. <br />hourly <br />c:ltb!1 -c,i19 <br />DELIVERY <br />POINT <br />PARKS AND OPEN SPACES <br />ADDITIONAL WATER <br />REASON FOR DELAY TIME: <br />V <br />ADDEDTOTHIS <br />` <br />El JOB NOT READY <br />DATE 2f1/07 P.O. 2007701-2319 <br />CONCRETE WILL <br />REDUCE <br />LACK;OF HELP <br />TIME 13e05 PLANT w4361® PIT 0 <br />STRENGTH. ANY <br />❑ WHEEL BARROW JOB <br />DRIVER <br />WATER ADDED IS . <br />AT CUSTOMER'S . <br />El WAITING FOR TRUCK TO UNLOAD <br />GROSS30, 8,30 1 h TRUCK CITEUC3b TRLR # <br />OWN RISK:. <br />El ADDING WATER <br />TARE . 16 p 440 %:1 b WEIGHMASTER <br />NET <br />❑ ARRIVED <br />JOB EARLY <br />14,440 1h <br />WATER REQUESTED BY: <br />, <br />❑ OTHER <br />SPECIAL INSTRUCTIONS: <br />MATERIAL. MIX DESIGN, SSD MOISTURE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />CORRECTION <br />TRIM <br />L aad <br />Count ALCLtUI» , Ot Y <br />WATER GAL./YD. <br />JOB d <br />1 7» 22 'Ton 6» 5 Ma <br />DESTMATION:` <br />1 7.22 Ton <br />6.55 Mg . <br />WATER/ <br />CEMENT <br />RATIO <br />MAXIMUM <br />ADD <br />WATER GALS. <br />PRODUCT # <br />PRODUCT DESCRIPTION <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />aP <br />Ton' <br />_ _ <br />PLANT_. <br />PICKUR <br />_ . , • <br />.999 9'~ . <br /> <br />. LIREGON" ` (NO "TAX) <br />:RMS: NET - CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br />JE AND PAYABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge <br />116% per month, or a minimum of $1 OO' will be made on the unpaid balance at <br />' <br />4 <br />} ( { , <br />TOTAL <br />end of the following month's billingbycle. This is <br />an ANNUAL PERCENTAGE RATE "OF' <br />/ PcaCnrim NnTlf r- W. rocon.n fhu rinhf fn nI.i- H.. for .II I.h- -4 mfn.iol <br />l ,1~1r ,_7' <br />X" <br />TICKET # 2828745 <br />nished on this job according to OREGON REVISED STATUTE 87.021. <br />Aamlmstratlve I <br />:CB# 21 O1 ALSO SERVING YOU AT <br /> <br />. RECEIVED BY FORM 30 Revised.10/04 <br />product label, and I understand <br />Cement concrete. <br />r Initials of Acknowledger '828745 <br />B•6491 •32260 Old Hwy, 34, Tangent, OR 97389 ' . tress (541) 995.6327 » Tangent Operations (541) 928-6491 - - - <br />