|
CUSTOMER
<br />Concrete: Injurious to eyes.Causes skin imtation.Contams Portland Cement. Read the following warning before
<br />unhardened concrete, molar, cement or cement mixtures can cause skin inflation, severe cherrwal bums or serious eye dl
<br />eyes and skin. Wear waterproof gloves, a fully-buttoned, long -slceve shkt fu kengtt trousers aid tight -fAtirg eye protectla
<br />W is as tlaigerous sop nose these materials from doffing. Seek Immed confad, flush plen of wale fa at 15 minutesCahsuk ph y thiwing to of persons who may use a cane into contact with wet (un Probhged nhala�ns of dust from a grovel product may he ha with to your Hearn. Measures to mnUOl fugBNe dust shoud he loren
<br />when handling this ptodrxt, Hot Asohaft emits nuisance fumes. Avid breathing fumes. Also, Asphai may case severe bums, Wea protednre
<br />safety gear (kxg sleeres, Parris aihd gloves). If burned, cod with water and sae a physidan.
<br />Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release
<br />reduce its strength. Buyees agent agrees to accept responsibilityfor reduced strength The operator of this piece of heavy equipment in presenting this RE•
<br />due towateradded above design. LEASE to you fa your signature, is of the opinion that the operation of this
<br />machinery in the manner required to perform our contract wih yw may
<br />Arrived at job with inch slump. F possibly cause damage to the premses a property. it s err wish td hop
<br />i you in everyway that we can, but in order m do this, the operate sasWng
<br />Testc
<br />Added gal water at customer request, y inders that you sign this RELEASE. In considemtWw of the pedamance of the
<br />taken seller of is contract with me, l the undersigned, hereby INDENYJIFY the
<br />Other additions seller and its employees for any damage and for all dams to the premses,
<br />building, utility pipelines a cables,, telephone Imp, dmreway a other
<br />b y
<br />Received appurtenances, at:
<br />Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from
<br />The addition of any extra products to our mixer may void any warranty any liability.
<br />7 , 6
<br />Unloading & Standby Excess unloading will be
<br />charged at posted truck time rates. Truck Standby
<br />time charged at posted truck time rates.
<br />Limited Warranty The only liability of the seller for
<br />productdefectis he return of the purchase price. In no
<br />event shall the seller be liable for any direct indirect,
<br />incidental or consequential damages resulting from
<br />the use of the products or arising out of breach of any
<br />warranty. All claims for damages or shortages must be
<br />made whthin 24 hours of dellvery.We do not assume
<br />responsibility for any damage beyond the curb line.
<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 'cc !
<br />mixer. Signature of Owner or Its Agent ,r i
<br />Signature of Owner or Its Agent i l.i if d w + 1 r � :x D '
<br />_. g� ....... g ._...... _. WGDELTYT0D
<br />Leave Plant Arrive Job Sita Star) Dischar Finish Dischar a Leave Job Site Arrive Plant,• '
<br />Drivers' �,gg1S,�F, l, r �g g�
<br />CommentsIafY .rj9 f ya4 1 9� �r9�
<br />'` IN �
<br />Company/ Customer POI
<br />Order No. Cuss. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No.
<br />Customer Delivery Address Data
<br />;:(: "± ;` l..'4 r �ea f. 1, € �er: 3 l'i j�ir' F. ta p `.�i #1 Zane 1
<br />Delivery Instructions
<br />k,'%A.r C!- W i'` i Scale fy , :.o
<br />In me: -f vl
<br />Load Qty Delivered Qty Order Qty ProductCode UOM Product Description Unit Price Amount
<br />t }i) )i .,t, ;nrot,l , .r;a ,9: "L6
<br />Si
<br />a`71 —9335— (p295 — 9 — <' 2
<br />®� T IA-V
<br />ON " HIS Tj}l,,
<br />Load Stze Prod. No Description Slump Type CC Use He Cd. PiVPlant Sales Tax
<br />t 0 ..,d.. :'iE)' i at _ f° " ':`;¢ rh ..rs. .. i uei 1:'t TOTAL DUE ,
<br />Truck Gross Weight Tare Weight Trailer Trailer Taken by Check #
<br />.7.T t,,, �rr,ial i;ti'''•. rrrrr.i:r?rr�rlrrrre��rrs�_..
<br />N� aSfJri Pte v Jr. 'QaI Nt`,6:Yi +'t % h ere." � c {t � 1 l 'vcFt2 firrtdcl W, 1 ; Ylr
<br />tit f E! 7. "p(��J t(i�t CrlaCj L a (9)(i,I. + Fh g p. a �K u I K * [ 42 .5 it
<br />1 Y19 Lr34tti jW ' " ° .� L� el l �kr.V 3P% A +a �ii fJ,�tJ tti' frG _
<br />,ct r 4,g R! >o ji, r`,i) a. }:l
<br />. )i:! ni t' $15 `11 f? )P? 4 6`5% -
<br />rfl1
<br />0, °9'd -
<br />r'ij�1 };.`'h ✓'':� C't 4'' ! IQ „11? :i _; !t)
<br />,(; {r i "�, !ter It . }. (it�.J j !3:i }() • ��` fe) lk iii
<br />:971. .Hu, 1. 4.P j
<br />9 ) -
<br />r h , tit) )ter
<br />
|