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See ReyeVcW.Terms, <br /> C.onditionWarnirlgs <br /> WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> THIS IS TO Chi l that U,a lollo�drg dr rib d mgr nedny wraa wriyAed, - <br /> AIERfiCAN TRANSIT MIX CO., iN . "� °` <br /> oartiflcA.,rho'.. naW auehor'rty d aauracy,as pre CA!rd by - <br /> Chapmr 7 f: .andn$ Srctjon 12" d Dl smal 'y 5t�oyf tha unit �f <br /> ma '*.M Su darth bf eM Gpfa�m�l c)wpparti�i,.d dFmd a d <br /> LV.PLANT ARR.JOB <br /> *LOGA,TION WHERE WEIGHED <br /> (SEE REVERSE FOR PLANT I.D.) 5 ART UR END POUR <br /> SOLD TO: ..; SHIP TO: <br /> JDB ARR.PLANT <br /> I;il•L�'�£�'I€�. J�1. , l iil:� ..:�.:' i}t,.. i=. �I.�k :t;t..' �..3. .'11+ -4d :!_�' <br /> TRUCK# BATCH TIME <br /> OUST,# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER PO. JOB/t T# <br /> wx# CU.YDS. LOAD# QTY.ORD. QTY.SHIP'D SLUMP USE DRIVER <br /> MIX DESCRIPTION CASH SALE <br /> UNIT PRICE " I AMOUNT <br /> QUANTITY ULM <br /> DESCRIPTION <br /> CERTIFICATE OF COMPLIANCE <br /> WATER ADDED AT: <br /> WE CEImFlr 0.9 th.porOw4 w.,w.t.d..iW a„d r,k r t rd,nk..ms mm.1 ad in th.m anal SUB-TOTAL . <br /> cl a load haloes a br mda at.e d and comply rith V dfie 6ri for: <br /> PLANT: -GALS CEMENT BRAND;---TYPE: II MILL LOCATION: SALES TAX <br /> CHEMIC',L IX: BRA TYPE; TOTAL ' <br /> JOB SITE / f , <br /> !! AcruReR 40 <br /> STANDBY TIME <br /> CYIJND TA N: MI ERALAOMIX: MANUFACTURER: CLASS: TOTAL " ' <br /> REMARKS: <br /> .2t <br /> AMERICAN TRANSIT MIX CO. INC. WEIGHMASTER CUSTOMER'S SIGNATURE: - <br /> QW; y' <br /> SY DEPUTY REC`D.BY X <br /> #Za0't1kTI�,U113 -CUSTOMER COPY <br />