MASONS SUPPLY COMPANY <br />OREGON WASHINGTON <br />PORTLAND WOO <br />�/�`+('��� Construction and Industrial Materials <br />- 487 -616 1 <br />PH 503 - 234 -4321 PH 425- 487 -616 <br />- .�a.�� www- masco.net • Email OR: pdx@masco.net • Email WA: sea ®masco.net <br />FAX 503 -234 -5606 FAX 425 - 402 -3676 <br />CLACKAMAS, OR EUGENE, OR EUGENE (WEST), OR GRESHAM, OR HILLSBORO, OR MEDFORD, OR SALEM, OR WILSONVILLE, OR PORT ORCHARD, WA <br />SEATTLE, WA TACOMA, WA VANCOUVER, WA RIDGE FORM <br />ph 503- 722 -1528 ph 541.744 -6696 ph 541- 683 -1408 ph 503- 665 -4650 ph 503 -533 -0107 ph 541. 772.6161 ph 503- 585 -5504 ph 503) - 582.9320 ph 360- 876 -6372 <br />ph 206 -767 -4645 ph 253.581 -6161 ph 360 - 694 -8700 ph 360- 887 -4777 <br />fax503 -722 -1569 fax541- 744 -2302 fax S41 -683 -1956 fax503- 665 -4960 fax5D3 -533 -0407 fox541- 772.4752 fax 503- 585 -6732 fax 503- 582 -8324 fax 360- 876 -6373 <br />fax206- 767 -4696 1=253. 588.4272 fax360- 694 -8181 fax 360- 887 -3048 <br />DOCUMENT Piek TicketiPacking List <br />GUST #: 150720 444 WILL CALL 'z4# <br />** DO NOT PAY * * ** DO NOT PAY ". ** DO NOT PAY 44 <br />BILL T0: 1 ulklilL CORRESPONDENCE TO: sOns su pp l y oe = 'y NO CASH REFUND WILL BE MADE ON <br />PUBLIC WOW'S NAINTENWCE DEPT Po Box 42367 RETURNED MERCHANDISE WITHOUT <br />PO BOX 11110 PRESENTATION OF THIS SALES SLIP. <br />EUGENE, OR 9744 Portland, OR 97242 No returns on special orders, cuts or <br />repackaged merchandise. <br />SHIPTO.L T OF LUSERE NSTZIUCTIQNS SlsR <br />PUBLIC WORKS MAINTENANCE DEPT s�A�INGMEA: 109 <br />PO BOX 11.110 - <br />EUGENE, OR 97440 Masons West Eugene W.�� U#� r EST:. 1PPED , T 5 i <br />L r PI <br />PR ODUCT QUANTITY QUANTITY OTY QUANTITY AM <br />1 DESCRIPTION 1 I ORDERED B 1 ! <br />1 NB 1GFILM 0 Nee N lParit 1. k�0 0.00 1.61b EA 4L 37 <br />CONFILIN 113L <br />FINISHING AID <br />FREEZABLE:STORE BETWEEN 5)&85F—ND E4 USE *NOr DOT REGULAT <br />2 N5 5W WN Nei w iParit 1.00 0.00 1.00 PL ( 510. 51 <br />MASCOKOTE VOC 56L <br />FORK RELEASE 2 " P s <br />*NOT DOT REGUi.ATED <br />O �L <br />t Total 9 1.98 <br />INVOICE TO AL: S 91.98 J M - -- .aunt .92 If Pad Within er °>as <br />2 0 2.00 1 otal 91.98 <br />0.0 000 5'.22000 <br />aft Page <br />WARNING: Prolonged inhalation of airborne silica particles contained in silica sand, and other silica containing materials can cause delayed lung injury including silicosis, a progressive, disabling and sometimes fatal lung disease. <br />ALERTA: La inhalaci6n prolongada de las particulas aerotransportadas de la silicone contenidas an arena de la silicona, y la otra silicone qua contiene los materiales puedon causar Iesi6n retrasada del pulm6n incluyendo la silicosis, un <br />progresivo, invalidando y enfermedad de la p�miin a veces fatal. <br />SIGN NAME/ ''MUST PRINT NAME TIM OU TIME IN <br />WARNING: Do not use silica sand as a dry abrasive blasting agent. Dry sawing, grinding and sandblasting of concrete masonry products may result in the release of dust particles (respirable crystalline quartz) which could cause minor eye or nose irritation if proper <br />protection is not in place. Respiratory and eye protection is required as specified in the Material Safety Data sheet (MSDS) for Concrete Masonry Products, provided by this company. HEALTH HAZARD WARNING: Prolonged inhalation of airborne silica particles <br />contained in silica sand, and other silica-containing materials can cause delayed lung injury including SILICOSIS, a progressive, disabling and sometimes fatal lung disease. IARC has determined that crystalline and microcrystalline silica inhaled from occupation- <br />al sources can cause cancer in humans. Laws require you to take precautions for the safety of your employees and others who have contact with airborne silica particles. Notify your employees. Seller disclaims all liability for harmful health effects. Part of our <br />terms and conditions of sale is that our customers comply with all applicable health safety laws and regulations concerning the use and handling of all products c ontaining silica including any procedures performed on concrete or mortars containing silica. <br />CAUTION: FRESHLY MIXED CEMENT, MORTAR, CONCRETE, OR GROUT MAY CAUSE SKIN INJURY, AVOID CONTACT WITH SKIN WHERE POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER. IF ANY CEMENT MIXTURES GET INTO EYES, RINSE <br />IMMEDIATELY AND REPEATEDLY WITH WATER AND GET PROMPT MEDICAL ATTENTION. KEEP OUT OF REACH OF CHILDREN. CUSTOMER ASSUMES FULL RESPONSIBILITY FOR DAMAGE TO SIDEWALKS, CURBS, DRIVEWAYS, OR OTHER PROPERTY ON THE <br />PREMISES WHEN REQUESTING DELIVERIES OF MATERIALS TO BE MADE OTHER THAN ON THE STREET WHEN CUSTOMER REQUESTS MATERIAL. CUSTOMER ASSUMES RESPONSIBILITY FOR ANY DAMAGES RESULTING FROM LOADING MATERIALS ON VEHICLE. <br />NO RETURNS ON SPECIAL ORDERS, CUTS, OR REPACKAGED MERCHANDISE. NO CREDIT WILL BE ISSUED FOR MATERIAL RETURNED 45 DAYS AFTER ORIGINAL PURCHASE. RETURNED MERCHANDISE MUST HAVE PRIOR APPROVAL OF THE SELLER AND WILL <br />BE SUBJECT TO A 15% HANDLING CHARGE. MERCHANDISE MUST BE SALABLE AND RETURNED ON A FREIGHT PREPAID BASIS. A FINANCE CHARGE IS COMPUTED BY A SINGLE PERIODIC RATE OF I Yz% WHICH IS AN ANNUAL PERCENTAGE RATE OF 18 %. <br />DISCLAIMER OF WARRANTIES: NEITHER SELLER NOR MANUFACTURER HAS ANY KNOWLEDGE OR CONTROL CONCERNING THE PURCHASER'S USE OF THE PRODUCTS. NO EXPRESS WARRANTY IS MADE BY SELLER OR MANUFACTURERS <br />WITH RESPECT TO THE RESULTS OF ANY USE OF THE PRODUCTS. NO IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO AN IMPLIED WARRANTY OF MERCHANTABILITY, OR AN IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR <br />PURPOSE, ARE MADE WITH RESPECT TO THESE PRODUCTS. <br />IF AN ATTORNEY IS EMPLOYED TO ENFORCE THIS AGREEMENT, MASONS SUPPLY SHALL BE ENTITLED TO ATTORNEY FEES AND COSTS, IRRESPECTIVE OF WHETHER ANY LEGAL PROCEEDINGS IS COMMENCED. IF ANY LEGAL ACTION, <br />ARBITRATION, OR OTHER PROCEEDING IS BROUGHT (INCLUDING ANY BANKRUPTCY), THE PREVAILING PARTY CHALL BE ENTITLED TO RECOVER REASONABLE ATTORNEY FEES AND OTHER COSTS, BOTH AT TRIAL AND ON APPEAL. <br />RETURN MERCHANDISE IS SUBJECT TO 15 % DISCOUNT DELIVERY COPY <br />