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' 3 P & L CONCRETE PRODUCTS INC. <br />1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 <br />WEI'3HTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG / INVOICE <br />THIS IS TO CERTIFY that the following described <br />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 />obe all California State Traffic Laws and is responsible for an <br />Y P Y <br />citations received while using the trailer. <br />` No trailers out overnight. INITI/�LS <br />commodity was weighed, measured, or counted by a <br />P & L CONCRETE PRODUCTS INC. <br />Invoice No.: 176039 <br />weighmaster whose signature is in this certificate, who is <br />WEIGHMASTER <br />ARRIVE <br />ON JOB <br />a recognized authority of accuracy, as prescribed by <br />TOTAL YARDS ` <br />ON JOB <br />Cust No.: CLE3324 <br />chapter 7 (commencing with Section 12700) of Division 5 <br />MIX DESIGN <br />�" "1 <br />NUMBER i 7„ <br />Inv. Date : 10/27/16 <br />of the California Business and Professions code. <br />WATER ADD <br />N JOB `: <br />ARRIVE <br />PLANT <br />Administered by the Division of Measurement Standards <br />BY. Guillermo Murillo <br />Page No.: 1 <br />of the California Department of Food and Agriculture. <br />C.O.D. <br />DEPUTY <br />SOLD TO: DESTINATION: <br />CLEARWATER DRILLING 20263 ELLIS RD <br />TOBY VON ALVENSLEBEN ESCALON <br />2308 YOSEMITE AVE WEIGHED AT: <br />ESCALON, CA 95320 1900 ROOSEVELT AVE. <br />(209) 603-3324 ESCALON, CA 95320 <br />READY MIX <br />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 />obe all California State Traffic Laws and is responsible for an <br />Y P Y <br />citations received while using the trailer. <br />` No trailers out overnight. INITI/�LS <br />VEHICLE LICENSE OR ; <br />EQUIPMENT NUMBER <br />YARDS <br />LEAVE <br />PLANT 1 <br />TRUCK NO: <br />NUMBER <br />OF LOADS % <br />ARRIVE <br />ON JOB <br />TRAILER: <br />TOTAL YARDS ` <br />ON JOB <br />START <br />POUR <br />C.D.L. tt <br />MIX DESIGN <br />�" "1 <br />NUMBER i 7„ <br />END <br />POUR <br />VER LIC. # <br />WATER ADD <br />N JOB `: <br />ARRIVE <br />PLANT <br />❑ PICKED UP ,, 0°QELIVERED <br />Ship Date PO # <br />Due Date Driver <br />10/27/16 SLURRY / ELLIS RD <br />C.O.D. <br />Qty Shipped Item Number Description <br />5.000 YD SAND00103 SAND SLURRY 10.3 <br />10.3 SK SAND SLURRY <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 Price <br />141.5000 <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 />Amount <br />707.50 <br />707.50 <br />0.00 <br />0.00 <br />0.00 <br />56.60 <br />764.10 <br />0.00 <br />0.00 <br />764.10 <br />