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0 Albany (541) 928 -2547 0 Corvallis (541) 752 -3428 0 Lebanon Dispatcher (541)258 -7123 0 St. Helens (503) 397 -0111 0 Slayton (503) 769 -6465 <br />0 Angell Ouarry (503) 0 286 -1222 Eugene (541) 689 -6600 0 Metro Central Dispatch 0 Salem (503) 390 -6955 <br />KN I FE RIVER 0 Brownsville (541) 747 -1213 0 Gresham (503) 666 -5577 (503) 944 -3550 Cj Sherwood (503) 692 -8242 <br />AN MDU RESOURCES COMPANY 0 Coffin Butte (541) 745 0 Hardrock (541) 745 -7572 0 Reichhold (503) 366 -5900 0 Springfield (541) 747 -1213 <br />MAP LOCATE <br />BATCH TIME <br />�1� <br />I PLANT <br />ARRIVE JOB .-r <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB <br />ARRIVE PLANT <br />SLUMP 4 <br />✓ <br />9 L q <br />S <br />TRIM <br />IV <br />1-7 <br />/- /� <br />Q 33 i to O`� S <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 />'/ tD <br />Q <br />TIME ALLOWED ON <br />CEMENT <br />gals. to full load <br />El YES <br />FULL LOADS. <br />SOLD TO EUGENE CITY OF <br />2 <br />gals. to /3 load <br />❑ YES <br />Additional unloading <br />g <br />Cn <br />CODY AND DAKOTA EUGENE <br />MAXIMUM <br />time charged at current <br />- <br />gals. to 1 /3 load <br />❑ YES <br />hourly truck rate. <br />DELIVERY <br />POINT J <br />f ' r <br />0 <br />ADDITIONAL WATER <br />REASON FOR DELAYTIME: <br />c <br />ADDEDTOTHIS <br />❑ JOB NOT READY <br />DATE 06/29/11 P.O. # <br />CONCRETE WILL REDUCE <br />El LACK OF HELP <br />TIME PLANT' 8 PIT <br />STRENGTH. ANY <br />❑ WHEEL BARROW JOB <br />DRIVER JACK SMITH <br />WATER ADDED IS <br />❑ WAITING FOR TRUCK TO UNLOAD <br />GROSS TRUCK' #40340063 TRLR # <br />AT CUSTOMER'S <br />❑ ADDING WATER <br />TARE WEIGHMASTER FRANK RAEBUR � <br />OWN RISK. <br />❑ ARRIVED JOB EARLY <br />� <br />El OTHER <br />NET 5.010 h • ACCUM. 5.00 LOADS 1 <br />WATER REQUESTED BY: <br />SPECIAL INSTRUCTIONS: <br />.. <br />I <br />MATERIAL MIX DESIGN, SSD SSTURE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED. AMOUNT <br />COR <br />SLUMP 4 <br />✓ <br />9 L q <br />S <br />TRIM <br />1-7 <br />/- /� <br />Q 33 i to O`� S <br />{ ? � <br />WATER GAL ND. <br />WATER/ <br />'/ tD <br />Q <br />CEMENT <br />RATIO <br />SCHEDULED ON JOB <br />09x30 <br />MAXIMUM <br />QUANTITY ORDERED <br />5 <br />ADD <br />' PREVIOUS TRUCK. <br />f ' r <br />0 <br />WATER GALS. <br />LOAD,TYPE ORDER <br /># 8027 <br />PRODUCT # <br />PRODUCT DESCRIPTION <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT. <br />24,15P27200 <br />3500 <br />PSI W /AIR 112" (35 <br />-5) <br />5.00 <br />24SLD I READY MIX SHORT LOAD DELIVERY <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 TOTAL <br />of 1 per month, or a minimum of $1.00, will be made on the unpaid balance at <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF TICKET # <br />18 h I' 1' f 11 b d t' I <br />1.00 <br />1.00 <br />o' PERSONAL NOTICE. We reserve the rig t to c aim ien or a a or an ma eria <br />furnished on this job according to OREGON REVISED STATUTE 87.021. RECEIVED BY <br />Important: I acknowledge receipt of a copy of Knife River's Ready Mix,concrete product label, and I understand and take I <br />responsibility for the warning in the product label regarding working with Portland Cement concrete. 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 />3750462 <br />F <br />