CUSTOMER <br />to eyes.Causes skin <br />II <br />Read <br />Contact with wal <br />Avoid oatad with <br />agrees to convey this warning to all parsons who may use a cane into contact with wet (unhame fed) conaele, mortar, cement or cement matures. <br />Aggregates: PmloNed inhalat of dust from a gravel product may be hazardous to your heath Mecums to control f gM dust should be taken <br />M1611 handling this piodcot Hot Asphalt mils nuisance fumes. Avoid breathing fangs. Also, Asphalt may case severe bums: Wear protective <br />safety gear (king sleeves, pants and gloves). If burned, and with water and see a physician. - <br />Water added at customer's own dsk Additional water added to concrete will Property Damage Indemnification & Release <br />reduce as strength. Buyer's agemagrees toaccept responsibility forreduced strength The ppSI of this piece of heavy equipment in present <br />due to wateradded movedesign LEASE toyw for your signature, is oflhe opinion that the open <br />Arrived at job with inch slump. machinery In the manna ct w <br />required to perform our contra d <br />I p possibly cause damage to the premess a property. It s x <br />our al water at customer request cylinders you n u sign this RELE but in order to do o f the rio <br />Added <br />g q Test c tin that you sign n t RELEASE. In a undersigned, consideration , the y IND x <br />taken Seller of its co vmh me, I the undersigned, hereby INDE <br />Other additions sallerand its employesfa any damage and fa all claims to Its <br />building, utility pipelines a cables, telephone lines, diivewe <br />Received appurtenances, a: <br />b y X <br />2 7 475 <br />this RE- <br />Unloading & Standby Excess unloading will be <br />on Of this <br />charged at posted truck time rates. Truck standby <br />help <br />time charged at posted truck time rates. <br />s esldng <br />Limited Warranty The only liability of the seller for <br />cedthe <br />product <br />defect is he return of the purchase price. In no <br />VIFy the <br />event shall <br />the seller be liable <br />for any direct, indirect, <br />, an i ses <br />incidental <br />or consequential <br />damages resulting from <br />or other <br />theuseofthe products or arising out of breach of any <br />warranty. All claims for damages or shortages must be <br />d 1; <br />b y X <br />Company/ <br />me a wit In hours of dehvery.We do not assume <br />responsibility for any damage beyond the curb line. <br />Buyer's Agent receipt of product and approval of any added items. <br />and RELEASE the seller and its employees from <br />!,;P " t ;_): <br />Custom <br />The addition of any extra products to our mixer may vold any warranty <br />any liability. <br />Delivery Instructions <br />expressed or implied by the seller. The Seller accepts no liability for any <br />personal injury incurred by you while adding additional products to our <br />n/r 16)x, rl <br />1iTd rd <br />1 v -u "n r " z1 : [3 <br />. its \v <br />mixer. <br />SI <br />Signature <br />nature of Owner or Its Age <br />i rt.� fEft <br />k °x1.10 <br />_ Signatu o A9 _ <br />WD Ar rr ve <br />iit <br />Y))s r' yf r � t'l <br />Leave PlatAirvn <br />e job Sit Start Dichage�Finish Discharge <br />y, <br />Leave Job Site Plant <br />l <br />i f i I l`�s° <br />i'e t <br />( { G 7 t l _� 4 i �° <br />I I <br />Drivers' <br />] '1t; <br />gy r � li <br />4 <br />pp k p y p ° y y y y 'fi € r t € g g a q $ && $9� <br />Sq6q6@@ J ul g ((( $$ ry p ry 4 f � �� � <br />•'0, r C <br />i¢IYI <br />i.9 39° �'�ttd�kld <br />Comments <br />#Mot@ <br />9# <br />Customer PO/ <br />Phase Code - TICKETNO. <br />Delivery Address <br />Driver Co. Prod. No. <br />Date <br />Map q Zone I , .i .c <br />Seale j <br />Titre: I F >( ° { <br />yci <br />. E . d 1� r,'f, ".rf, i I e ii <br />T"fYm.� to pc r S Q <br />...r! 0 <br />f 1 t � 4. 't 0.)3 l k. ' iI t... tilt "1 ♦�5��� !?'� <br />1 - 7 I -g33S= G L —9S s°,z;I <br />2,dl( Dro99p <br />lei Vf fl'Z l <br />) Pv( li it <br />Load Size Prod, No. Description Slump Type CC Use Haul Co. Pit/Plant Sales Tax - <br />61 Mp <br />Company/ <br />Order No. Cust. No. <br />Customer Job <br />rr.aq rr.c? '`a /ir of <br />!,;P " t ;_): <br />Custom <br />� <br />)i / 7 <br />9 p�^ <br />l� b i 1 LAF ):::, 1 (..I V 1[,:. <br />Delivery Instructions <br />f i <br />Customer PO/ <br />Phase Code - TICKETNO. <br />Delivery Address <br />Driver Co. Prod. No. <br />Date <br />Map q Zone I , .i .c <br />Seale j <br />Titre: I F >( ° { <br />yci <br />. E . d 1� r,'f, ".rf, i I e ii <br />T"fYm.� to pc r S Q <br />...r! 0 <br />f 1 t � 4. 't 0.)3 l k. ' iI t... tilt "1 ♦�5��� !?'� <br />1 - 7 I -g33S= G L —9S s°,z;I <br />2,dl( Dro99p <br />lei Vf fl'Z l <br />) Pv( li it <br />Load Size Prod, No. Description Slump Type CC Use Haul Co. Pit/Plant Sales Tax - <br />61 Mp <br />1 rT y 7 <br />f t li 2Fl.'{I <br />/ 7�� <br />1 11 1 1 YSJ.i <br />oc <br />11;3.1 <br />, ni <br />1? <br />� <br />)i / 7 <br />7 `nrr„��������� <br />fir& "} <br />A'34 # <br />f i <br />n/r 16)x, rl <br />1iTd rd <br />1)'4{ <br />%L`- <br />1 . 4 bi <br />., M <br />1 !(,f% <br />ii' <br />K11 <br />1.'F <br />1 �tf <br />1 ) 1 7 t, Af <br />Slue.l'Y <br />7,3H ,. <br />H {in ^al <br />lJ <br />] '1t; <br />!Ii <br />201 1 §i <br />•'0, r C <br />iY <br />Ti <br />i 0 I)a <br />.a <br />l: F: <br />f)ni, 1z <br />0, rfili <br />fl [ (1 5 12 ,1 <br />f Ef u 4l <br />1 '00 0 <br />" Z , ! , <br />i4` <br />51l i3 <br />Ili <br />f <br />F 00 d <br />•• \i,: <br />A tUpl <br />flu h',1,6 <br />i <br />LH e.S (1 <br />Ir .;ij Itr I <br />.i,tgrlr i },'7% <br />t <br />ht: `t?x rl _ r;!"_, F, <br />Eat <br />1 <br />{! Frj3kf { {: ii I "1 <br />=, ta.elp„ 'f,1 <br />1d R <br />heck # <br />1 rT y 7 <br />f t li 2Fl.'{I <br />/ 7�� <br />1 11 1 1 YSJ.i <br />oc <br />11;3.1 <br />, ni <br />1? <br />.tlt <br />f ( 0 00 '1 <br />