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u 1 D Albany (541) 928 -2547 El Corvallis (541) 752 -3428. D Lebanon Dispatcher (541) 258 -7123 D St. Helens (503) 397 -0111 <br />CC `,fit, s O Angell Quarry (503) 286 -1222 : D Eugene (541) 689 -6600 D Metro Central Dispatch D Salem (503) 390 -6955 <br />�{t • D Brownsville (541) 747 -1213 D Gresham (503) 666 -5577, (503) 944 -3550 D Sherwood (503) 692 -8242 <br />AN MDU RESOURCES COMPANY n rnffin Rntta 15411 74S - 7577 •" F Hardrnrk 15411 745 - 7577 ` fl Reirhhnld isnii :166 - 5900 fl SDrinofield (541) 747 - 1213 <br />D Stayton (503) 769-6465. , <br />MAP LOCATE <br />BATCH �TjLMpE� <br />LEAVE PLANT <br />ARRIVE JOB / <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB <br />ARRIVE PLANT <br />I:. <br />J V t✓ ® <br />1 0'7 <br />WATER ADDED AT <br />TEST CYL. <br />6 MINUTES PER YARD <br />CUSTOMER ACCOUNT # 31876 CODE <br />CUSTOMER'S REQUEST <br />TAKEN <br />FREE UNLOADING <br />JOB .# BID # <br />TIME ALLOWED ON <br />gals. to full load <br />❑ YES <br />FULL LOADS. <br />' <br />SOLD TO EUGENE CITY OF <br />2' <br />gals. to /3 load <br />❑ YES <br />Additional unloading <br />17TH AND JEFFERSON EUGENE <br />time charged at current <br />; <br />gals. to /3 load.- <br />El YES <br />- hour) truck rate. <br />Y <br />DELIVERY <br />POINT <br />- <br />ADDITIONAL WATER. ° : <br />REASON FOR DELAYTIME:, <br />ADDEDTOTHIS, <br />❑ JOB NOT READY <br />DATE 04/62/11 P.O. #; <br />CONCRETE WILL REDUCE <br />❑ LACK OF HELP <br />TIME PLANT 8 PIT <br />STRENGTH. ANY <br />❑ WHEEL BARROW JOB <br />OB <br />DRIVER EPDIE HERTZ <br />WATER ADDED IS <br />AT CUSTOMER'S, <br />❑ WAITING FOR TRUCK TO UNLOAD <br />GROSS , TRUCKL e J, TRLR # <br />:. OWN RISK. <br />❑ ADDING WATER <br />TARE WEIGHMASTER FRANK RAEBUR ~ <br />❑ ARRIVED.JOB EARLY <br />El OTHER,' <br />NET 1 to em rrl f i to to 1 1 <br />WATER' REQUESTED BY: <br />SPECIAL INSTRUCTIONS: <br />MATERIAL MIX DESIGN SSD MOISTURE DESIRED'AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />; <br />CORRECTION <br /> _. <br />SLUMP 5 <br />.16TH— N ON JEFFERSON °, >. <br />O �/ <br />TRIM <br />!WATER GAL./YD. <br />1 <br />.WATER/ <br />il <br />ts 7S & <br />NT <br />RATIO <br />/ <br />SCHEDULED ON JOB 10:30 `K.. <br />MAXIMUM <br />QUANTITY ORDERED 52 � l � O It �� � � - <br />ADD <br />PREVIOUS TRUCK Q <br />WATER GALS. <br />nn � no o u urA <br />FROfSUCT #k ` <br />�` y PRODUCT DESCRIPTION <br />- QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />r <br />2450N5KISR <br />5000 .PSI W /AIR (50 —KSR) <br />10.00 <br />24MA <br />M I C ROF I BER <br />10.00 <br />0 AcI tct DMI <br />01 C) . ` <br />1 tarn <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 />TOTAL <br />of 1 1 /2% per month, or a minimum of $1:00, will'be made on the unpaid balance at <br />TICKET # �7�b��t9 <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF '. <br />1 DOL ­­hl AI A,n 1 ,n,,..,.�.... ,r.,... +,.. :.i��... I;— r... �u ILK. — ,,, �r ;. l <br />furnished on this job according to OREGON REVISED STATUTE 87.021. <br />CCB# 2101 <br />--- -- ---- ---- -- --- -- --- -- -- -- --- ------ --- -- ---- <br />4RECEIVED BY <br />Administrative Group (541) 928 -6491 •32260 Old Hwy 34, To <br />ALSO SERVING YOU AT Harrisburg Prestress (541) 995 -6327 • Tangent <br />. Initials of Acknowledger <br />OR 97389 <br />ions (541) 928 -6491 <br />FORM 30 Revised 3/10'• <br />3749095.' <br />