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LI Albany (541) 928 -2547 <br />❑ Corvallis (541) 752 -3428 <br />❑ Lebanon Dispatcher (541) 258 -7123 <br />❑ St. Helens (503) 397 -0111 ❑ Slayton (503) 769 -6465 <br />a ❑ Angell Quarry (503) 286 -1222 <br />❑ Eugene (541) 689 -6600 <br />❑ Metro Central Dispatch <br />❑ Salem (503) 390 -6955 <br />t4 KNIFE RIVES o Brownsville (541) 747 -1213 <br />❑ Gresham (503) 666 -5577 <br />(503) 944 -3550 <br />❑ Sherwood (503) 692 -8242 <br />AN MDU RESOURCES COMPANY . ❑ Coffin Butte (541) 745 <br />❑ Hardrock (541) 745-7572 <br />❑ Reichhold (503) 366 -5900 <br />❑ Springfield (541) 747 -1213 <br />MAP LOCATE <br />BATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB <br />ARRIVE PLANT'" <br />WATER ADDED AT , ' <br />TEST CYL. <br />6 MINUTES PER YARD <br />CUSTOMER ACCOUNT # ,1876 CODE <br />CUSTOMER'S REQUEST <br />TAKEN' <br />FREE UNLOADING <br />JOB # BID # <br />TIME ALLOWED ON <br />gals. to full load <br />9 <br />❑ YES <br />FULL LOADS., <br />'Additional <br />SOLD TO EUGENE CITY 'OF <br />gals. to d <br />2 /3 loa <br />❑ YES <br />unloading <br />g <br />BURNETT AND MINNESOTA EUGENE <br />time charged at current <br />gals. to 1 /3 load <br />❑ YES <br />hourly truck rate. <br />DELIVERY <br />POINT <br />ADDITIONAL WATER <br />REASON FOR DELAY TIME: <br />ADDED TO THIS <br />❑ JOB NOT READY <br />DATE 06/22/11 P.O. # <br />CONCRETE WILL REDUCE <br />❑ LACK OF HELP <br />TIME PLANT 6 PIT <br />STRENGTH.ANY I <br />❑ WHEEL BARROW JOB <br />DRIVER KENT CORNISH <br />WATER ADDED IS <br />AT CUSTOMER'S <br />❑ WAITING FOR TRUCK TO UNLOAD <br />GROSS TRUCKx #$1 340684 TRLR # <br />OWN RISK. <br />❑ ADDING WATER <br />TARE WEIGHMASTER FRANK RAEHUR <br />❑ ARRIVED JOB EARLY <br />El OTHER <br />NET 6. 50 ACCUM 6.50, LOADS 1 ' <br />WATER REQUESTED BY:' <br />SPECIAL INSTRUCTIONS: . <br />MATERIAL MIX DESIGN, SSD E DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />cM OISTU <br />K s <br />SLUMP 5 <br />P <br />TRIM <br />WATER GAL.%YD. <br />WATER/ <br />j f z Q <br />© <br />RATIO <br />SCHEDULED ON JOB 08 :40 i <br />MAXIMUM <br />QUANTITY ORDERED 6 .5 <br />ADD <br />PREVIOUS TRUCK 0 <br />WATER GALS. <br />I, nAn TYPF nRDF 801 �s <br />PODUCT # <br />PRODUCT DESCRIPTION <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />2435P27�00 <br />3500 PSI W /AIR 1/2" (35 -5) <br />6.50 <br />24FUELRM <br />FUEL SUR <br />1.00 <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 />5 1 OTAL <br />of 1 per month or a minimum of $1.00 will be made on the unpaid balance at <br />' <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br />1Ao% ococnun ninTV•c. ne .00...o tio ...w r,...i.., re., r.,. u iti.,. .,. ..,.e.,� <br />r <br />TIC KET # 375030.1.. <br />furnished on this job according to OREGON REVISED STATUTE 87.021. ------- - - - - -- -- ----------------- <br />RECEIVED BY FORM 30 Revised 3/10 <br />Initials of Acknowledger <br />Administrative Group (541) 928 -6491 •32260 Old Hwy 34, Tangent, OR 97389 3 7 5 Q 3 0 1 , <br />CCB# 2101 ALSO SERVING YOU AT Harrisburg Prestress (541) 995 -6327 • Tangent Operations (541) 928 -6491 <br />L <br />3 <br />n <br />r <br />U <br />3 <br />L <br />