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.. 5 <br />KNIFtRIVE -fr <br />AN MDU RESOURCES COMPANY <br />❑ Albany (541) 928 -2547 <br />❑ Corvallis (541) 752 -3428 <br />❑ Angell Quarry (503) 286 -1222 <br />D Eugene (541) 689 -6600 <br />❑ Brownsville (541) 747 -1213 <br />❑ Gresham (503) 666 -5577 <br />❑ Coffin Butte (541) 745 -7572 <br />I l Hardrock (5411745 -7572 <br />• Lebanon Dispatcher (541) 258 -7123 <br />• Metro Central Dispatch <br />(503) 944 -3550 <br />n Reichhold (503) 366 -5900 <br />• St. Helens (503) 397 -0111 ❑ Stayton (503) 769 -6465 <br />• Salem (503) 390 -6955 <br />• Sherwood(503)692 -8242 <br />fl Snrinnfield (541) 747 -1213 <br />MAP LOCATE <br />BATCH TIME <br />LEAVE PL <br />ARRIVE JOB <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB <br />ARRIVE PLANT <br />/ANT�J <br />'(o- <br />I <br />WATER ADDED AT <br />TEST CYL. <br />6 MINUTES PER YARD <br />CUSTOMER <br />ACCOUNT # 31876 CODE <br />CUSTOMER'S REQUEST <br />TAKEN <br />FREE UNLOADING <br />JOB # <br />BID # <br />TIME ALLOWED ON <br />' <br />gals. to full load <br />9 <br />❑ YES <br />FULL LOADS. <br />SOLD TO <br />EUGENE CITY OF <br />2 /3 l <br />gals. to l oad <br />❑ YES <br />Additional unloading <br />_ <br />17TH AND JEFFERSON EUGENE <br />time charged at current <br />gals. to 1 /3 load <br />❑ YES <br />hourly truck rate. ' <br />IieuvERV <br />POINT <br />•' A <br />ADDITIONAL WATER <br />REASON FOR DELAYTIM -, <br />ADDEDTOTHIS <br />❑ JOB NOT READY ` r ' f <br />DATE 04/22/11 P.O. # <br />CONCRETE WILL REDUCE <br />❑LACK OF HELP <br />TIME <br />PLANT B PIT <br />STRENGTH.ANY <br />WATER ADDED IS <br />❑ WHEEL BARROW JOB <br />DRIVER KENT CORNISH <br />AT CUSTOMER'S <br />❑ WAITING FOR TRUCK TO UNLOAD <br />GROSS <br />TRUCKL #40340604 TRLR # <br />OWN RISK. <br />❑ADDING WATER <br />TARE <br />WEIGHMASTER FRANK RAEBUR . <br />❑ ARRIVED JOB EARLY <br />El OTHER <br />NET <br />J to 9171 of ) im. 4.0 MM I Prong <br />WATER REQUESTED BY: <br />SPECIAL INSTRUCTIONS: <br />MATERIAL MIX DESIGN, SSD COR R ECTION DESIRED AMOUNT <br />ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />. <br />SLUMP 5 <br />18T1-1 N ON JEFFERSON <br />TRIM <br />�. <br />WATER GACND. <br />WATER/ <br />q `7 <br />9 <br />`L / J <br />S- / <br />CEMENT <br />RATIO <br />SCHEDULED ON JOB <br />11. ( <br />(O � <br />MAXIMUM <br />QUANTITY ORDERED <br />SE <br />r <br />ADD <br />PREVIOUS <br />PREVIOUS TRUCK <br />a46340 <br />l (�� <br />C/ <br />WATER GALS'... <br />! 111011 TVDIZ npnEp <br />& . m <br />PRODUCT # <br />PRODUCT DESCRIPTION <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />2450N5KISR <br />5000 PSI W /AIR (50 —KSR) <br />10.50 <br />s 4MA <br />MICROFIBER <br />•10.50 <br />OM <br />Ir <br />R110 <br />1 711 <br />TERMS: NET — CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br />DUE AND PAYABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge <br />of 1 per month, or a minimum of $1.00, will be made on the unpaid balance at <br />TOTAL <br />; <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br />1ROIRO/. DoocnuA% A%nnr -c- %Are �e�e — fhe r{NH - i�r. oe.. r... �u ILK— —A - -. <br />-' ,/ � <br />-TICKET # ?744.1017a <br />furnished on this job according to OREGON REVISED STATUTE 87.021. <br />--------------------------- --- --- --- -- ----- -- --- '=--- ---- -X " -- - -- <br />RECEIVED BY K" <br />Initials of Acknowledger <br />Administrative Group (541) 928 -6491 •32260 Old Hwy 34, Tangent, OR 97389 <br />CCB# 2101 ALSO SERVING YOU AT Harrisburg Prestress (541) 995 -6327 • Tangent Operations (541) 928 -6491 <br />FORM 30 Revised 3/10 <br />3749104 <br />a <br />J <br />w <br />0 <br />