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P & L CONCRETE PRODUCTS INC. <br />" ' • _ 1900 ROOSEVELT AVE. " ESCALON, CA 95320 - 1763 <br />WEIGHTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 <br />�4- c 65K rid <br />5/ W76T/ <br />DELIVERY TAG I INVOICE <br />THIS IS TO CERTIFY that the following described <br />commodity was weighed, measured, or counted by a <br />weighmaster whose signature is in this certificate, who is <br />a recognized authority of accuracy, as prescribed by <br />chapter 7 (commencing with Section 12700) of Division 5 <br />P & L CONCRETE PRODUCTS INC. <br />WEIGHMASTER <br />Invoice No.: 28803 <br />Cust NO.: MAS292 <br />Inv. Date: 11/16/06 <br />of the California Business and Professions code. <br />Administered by the Division of Measurement Standards <br />Guillermo Murillo <br />BY: <br />Page No.: 1 <br />DEPUTY <br />of the California Department of Food and Agriculture. <br />TRAILER: <br />SOLD TO: <br />MASELLIS DRILLING INC <br />119 ALBERS ROAD <br />MODESTO, CA 95357 <br />innn% cnn 4 nno <br />DESTINATION: <br />1187 FISK RD. <br />OFF AIRPORT <br />STOCKTON <br />WEIGHED AT: <br />1900 ROOSEVELT AVE. <br />ESCALON, CA 95320 <br />` READY MIX CONCRETE <br />Customer agrees to return trailer in two hours from time out or <br />pay $1.25 for each additional minute over two hours. <br />` Customer acknowledges he has liability insurance on vehicle to <br />be used in tow trailer. <br />' Customer agrees to return trailer clean and free of concrete. If <br />trailer is not properly cleaned after use, customer agrees to pay an <br />additional cleaning charge. <br />` Customer further agrees to assume all responsibility for damage <br />to trailer, or damage resulting from trailer, including attorney fees, <br />for said trailer while it is in his custody. Customer also agrees to <br />obey all California State Traffic Laws and is responsible for any <br />citations received while using the trailer. <br />` No trailers out overnight. INITIALS <br />VEHICLE LICENSE OR <br />EQUIPMENT NUMBER <br />YARDS <br />LEAVE <br />PLANT <br />TRUCK NO: <br />NUMBER <br />F LOADS <br />ARRIVE <br />ON JOB <br />TRAILER: <br />TOTAL YARDS <br />ON JOB <br />START <br />POUR <br />C.D.L. # <br />MIX DESIGN <br />NUMBER - <br />END <br />POUR <br />VEH. LIC. # <br />WATER ADD <br />N JOB <br />ARRIVE <br />PLANT <br />0 PICKED UP -9-DELIVERED <br />` <br />Ship Date O <br />Due Date Driver <br />11/16/06 SAND SLURRY / FISK <br />1.00% -10th / Net Next EOM <br />Qty Shipped Item Number <br />5.000 Yard SAND SLURRY <br />1.000 Each SHORT LOAD <br />,Destriziption <br />10.3 SACK <br />SHORT OAD (CONCRETE) <br />P & L CONCRETE PRODUCTS, INC. ASSUMES NO RESPONSIBILITY FOR <br />DAMAGE INCURRED IN DELIVERING MATERIALS INSIDE THE CURB LINE. <br />I hereby acknowledge the satisfactory completion of the above described work <br />RECEIVED BY: <br />❑ No one on job site <br />CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br />unit rnce <br />129.5000 <br />50.0000 <br />Subtotal <br />Misc. Charge <br />Freight Charge <br />Discount <br />Sales Tax <br />Total <br />Payments <br />Deposits <br />Net Balance Due <br />TERMS: All invoices are due and payable by the 10th of the following month. <br />After due date 2% per month (24% per year) Finance Charge on past due accounts. <br />runvunL <br />647.50 <br />50.00 <br />697.50 <br />0.00 <br />0.00 <br />0.00 <br />54.06 <br />751.56 <br />0.00 <br />0.00 <br />751.56 <br />