DOCUMENT: Pick Ticket/Packing List <br />. . CUST #: 150720' WILL CALL +ea <br />�I <br />MASONS SUPPLY COMPANY <br />t OREGON WASHINGTON <br />°s:TAKEN'BY,:w" <br />! PORTLAND WOO <br />..� <br />Construction and Industrial Materials <br />- 487.616 <br />PH 503-234-4321 PH 425- 487.878 1 <br />MAS J <br />fit/® <br />www.masco.net a Email OR: pdx @mascc.net a Email WA: sea0mascomet <br />FAX 503 - 234 -5606 ., FAX 425 -402 -3676 <br />1010994 <br />1 <br />i <br />CtACKAMALOR EUGENE.OR <br />EUGENE(WESn.OR GRESNAM.OII HIUSBORO, OR MEDFORD, OR $AJUW, OR WIISONVn1EOR POMORCHARO.WA <br />SEAMILWA TACOMA WA VANCODVFLWA R.DGEFORM <br />ph50.3722.1528 0561.76 6596 ph MI- 6831608 ph503.665-4650 ph503533.0107 ph541.772 -6161 ph S03.5M.550e ph 503).583 -9320 ph 3604763371 <br />ph206.167 -4665 ph ?53391.6161 ph360.6944M ph36.88)3]77 <br />im5W.T12.1569 Iu 541.)M.2303 Icx541393.1956 hx$03- 6654960 M1MSm 533W07 Fm S41- 7)3-4752 RM503511516M lax M -M-m24 Imr 360-8)6-6376 <br />Ipx205- 7674696 fm2t1- 6..6271 Ass M0,694 -8181 fm 360- 88)-4068 <br />I, <br />DOCUMENT: Pick Ticket/Packing List <br />. . CUST #: 150720' WILL CALL +ea <br />�I <br />UPC ;VENDOR "`: <br />"`i:OROER "#'•' -* <br />°s:TAKEN'BY,:w" <br />762 - <br />JF <br />C P� DATEEv: <br />_ .; ` :'PO # -._ .,' a <br />4"'i^ �PAGE'f "A <br />I <br />1010994 <br />1 <br />it DO NOT PAY fess DO NOT PAY 4JP*M DO NOT PRY 14 <br />BILL TO: CITY OF E1ISETJE CORRESPONDENCE TO: Masons Supply CDapany NO CASH REFUND WILL BE MADE ON <br />PUBLIC WORKS NRINTENMICE DEPT PD Box 42367 RETURNED MERCHANDISE WITHOUT <br />pOkBOX 11110 PRESENTATION OF THIS SALES SLIP. <br />No returns on special orders, cuts or <br />EUSEM 1 OR 97440 Portland, OR 97242 repackaged merchandise. <br />'Is <br />CITY OF EUGENE 11dBTRUOTI(N S ',' SISRep <br />SHIPTO:�LIC WORKS MAINTENANCE DEPT *gGINIREA: 109 <br />PO BOX 11110 <br />IRA = PREOUEST: St11PPED.r ';w .. "TBRNk5: =;? <br />EUGENE, OR 97440 Masons West Eugene loth!M <br />It - <br />PR ODUCT UPC <br />I DESCRIPTION 1 F I 1 I E F 1 <br />i NA CT228 D0000 New IParlt 4.00 @.8<1 4.n <br />CASTinTACT 3 PANEL 2 <br />LACK <br />B,i48lPLT 1 <br />By purchasing CASTin1ACT panels f oa an auth rized source, .license is ereby <br />granted to the purchaser to use t e method sit forth in US at #7 t to i <br />instal -1 CASTinTACT panel . The 1i ense does tot extend to ary other pat nts 1 <br />owned by Masons Supply, ncluding US Pat #7,121,M, 4 22 /' Q <br />C 1 J✓ {P — 'l . �O l 256 @@ <br />INVOICE T AL ; f 256.00 <br />I ! � C et is;oun+ i .56 If P•id Within Terms <br />TV �? <br />II <br />' 1 � @ 4.02 otal 256. 01 <br />a @. @ 00000 T <br />1st P ge j f <br />WARNING: Prolonged Inhalation of airborne silica particles contained In silica sand, and other Film containing materials can cause delayed lung Injury including slllcosls, a progressive, disabling and sometimes fatal lung disease. <br />AIPRTA: minhalA IT prolanAads tle Ws pardculas aechanspgdams de Is silicone contenldas an arena de Is 51licona, g is one silicone qua condone IDs mcteriales puedon causer lesion rentrisada del pulm6n inciuyondo Is wlloosis,un <br />prggmsivo, Invalldando y eniermedad de la palm In a vaces fatal. ' <br />SIGN NAME MUST PRINT NAME TIME OUT TIME IN <br />,WARNING: Do no Do silica FaM as a Try abrasive blasting agent Dry sawing, ganding and mnddasting of concrete mmAmry pmducte may result In the release of dust pampas nesplable crystalline quarn) which could cause minor eye or nose Irdation If proper <br />protection is not In piece. Respiratory and rye protection 9 required as specified In the Material Safety Data shad (MSDS) for Concrete Masonry Products, provided by this company HEALTH HAZARD WARNING: Prolonged Inhalation of alrgame silica perch <br />contained In slllm wn4'and other GllcacanMimng materials on cause doved lung Injury Including SILICOSIS, a progressive, disabling and sometimes faW lung disuse. IARC has determined that crystalline and marocrsatalllne since Inhaled from occupemom <br />m <br />al sources enmeeeneaLi BUmen. Laws require you to take precautions for the safely of your employees also others who have comact with airbornealim pedicies. Notify your employees. Seller dac iaims all liability for harmful health effects. Part of OU( <br />Terms and Donations of sale N that our customers campy well all applicable health safely laws antl regulations concerning the use antl handling of all products con tainin g s eem Includin Rny procedures performed pen concrete or mature confaimng silica. <br />cALrnON: FRESHLY MIriED CEMENT, MORTAR, CONCRETE, OR GROUT MAY CAUSE SKIN INJURY AVOID CONTACT WITH SKIN WHERE POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER IF ANY CEMENT MDaURES GET INTO EYES, RINSE <br />IMMEDIATELY AND REPEATEDLY WITH WATER AND GET PROMPT MEDICAL ATTENTION, KEEP OUT OF REACH OF CHILDREN CUSTOMER ASSUMES FULL RESPONSIBILITY FOR DAMAGE TO SIDEWALKS, CURBS, DRIVEWAYS, OR OTHER PROPERTY ON THE <br />' PREMISES WHEN REGUESTING DELIVERIES OF MATERIALS TO BE MADE OTHER THAN ON THE STREET WHEN CUSTOMER REDUESTS MATERIAL CUSTOMER ASSUMES RESPONSIBILITY FOR ANY DAMAGES RESULTING FROM LOADING MATERIALS ON VEHICLE. <br />NO RETURNS ON SPECIAL ORDERS, CUTS OR REPACKAGED MERCHANDISE NO CREDIT WILL BE ISSUED FOR MATERIAL RETURNED 45 DAYS AFTER ORIGINAL PURCHASE RETURNED MERCHANDISE MUST HAVE PRIORAPPROVAL OFTHE SELLERAND WILL <br />BE SUBJECT TO A 15% HANDLING CHARGE MERCHANDISE MUST BE SALABLE AND RETURNED ON A FREIGHT PREPAID BASIS A FINANCE C HARGE IS COMPUTED BY A SINGLE PERIODIC RATE OF 1!y % WHICH IS AN ANNUAL PERCENTAGE RATE OF iB %, <br />DISCLAIMER OF WARRANTIES: NEITHER SELLER NOR MANUFACTURER HAS ANY KNOWLEDGE OR CONTROL CONCERNING THE PURCHASER'S USE OF THE PRODUCTS. NO EXPRESS WARRANTY IS MADE BY SELLER OR MANUFACTURERS <br />' WITH RESPECT TO THE RESULTS OF ANY USE OF THE PRODUCTS. NO IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO AN IMPLIED WARRANTY OF MERCHANTABILITY, OR AN IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR <br />PURPOSE, ARE MADE WITH RESPECT TO THESE PRODUCTS. <br />.IF AN ATTORNEY IS EMPLOYED TO ENFORCE THIS AGREEMENT, MASONS SUPPLY SHALL BE ENTITLED TO ATTORNEY FEES AND COSTS, IRRESPECTIVE OF WHETHER ANY LEGAL PROCEEDINGS IS COMMENCED. IF ANY LEGAL ACTION, <br />ARBITRATION OR OTHER PROCEEDING IS BROUGHT (INCLUDING ANY BANKRUPTCY), THE PREVAILING PARTY CAALL BE ENTITLED TO RECOVER REASONABLE ATTORNEY FEES AND OTHER COSTS, BOTH AT TRIAL AND ON APPEAL. <br />- RETURN AIFR HANDISE 18 SUBJECT TO 15% OISCOI <br />DELIVERY COPY <br />