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P & L CONCRETE PRODUCTS INC. <br />1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 <br />WFIGHTMASTFR CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 <br />DELIVERY TAG / INVOICE <br />THIS IS TO CERTIFY that the following described <br />commodity was weighed, measured, or counted by a <br />P & L CONCRETE PRODUCTS INC. <br />Invoice No.: 166844 <br />weighmaster whose signature is in this certificate, who is <br />WEIGHMASTER <br />Cust No.: CLE3324 <br />a recognized authority of accuracy, as prescribed by <br />2996 MCHENRY AVE <br />chapter 7 (commencing with Section 12700) of Division 5 <br />Inv. Date : 04/19/16 <br />of the California Business and Professions code. <br />WEIGHED AT: <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 />209 603-3324 <br />DEPUTY <br />READY MIX <br />SOLD TO: <br />DESTINATION: <br />CLEARWATER DRILLING <br />4060 WALLER <br />2996 MCHENRY AVE <br />STOCKTON <br />ESCALON, CA 95320 <br />WEIGHED AT: <br />1900 ROOSEVELT AVE. <br />209 603-3324 <br />ESCALON, CA 95320 <br />READY MIX <br />CONCRETE <br />' Customer agrees to return trailer in two hours from time out or <br />VEHICLE LICENSE OR <br />pay $1.25 for each additional minute over two hours. <br />* Customer acknowledges he has liability insurance on vehicle to <br />EQUIPMENT NUMBER <br />LEAVE <br />be <br />YARDS <br />PLANT <br />* Customer agrees to return trai er c oncrete. If <br />TRUCK N0: <br />NUMBER <br />ARRIVE <br />trailer is not properly cleaned after us r agrees to pay an <br />OF LOADS <br />ON JOB <br />additional cleaning charge. <br />TRAILER: <br />TOTAL YARDS <br />START <br />* Customer further agre o assume all responsibility for damage <br />ON JOB <br />POUR <br />to trailer, or damag sulting from trailer, including attorney fees, <br />C.D.L. # <br />MIX DESIGN <br />END <br />for said trailer wh' it is in his custody. Customer also agrees to <br />NUMBER'( <br />POUR <br />obey all Californi tate Traffic Laws and is responsible for any <br />citations received while using a rai e . <br />VEH. LIC. # <br />WATER ADD <br />ARRIVE <br />* No trailers out overnight. INITIALS <br />N JOB <br />PLANT <br />[] P ICKED7P---5 DELIVERED <br />Ship Date PO # <br />Due Date <br />Driver <br />04/19/16 <br />SLURRY / WALLER <br />C.O.D. <br />Qty Shipped <br />Item Number <br />Description Unit Price Amount <br />3 000 YD <br />SAND00103 <br />SAND SLURRY 10.3 139.5000 <br />418.50 <br />10.3 SK SAND SLURRY <br />1.000 EA <br />SHORT <br />SHORT LOAD (CONCRETE) 70.0000 <br />70.00 <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 />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 />488.50 <br />0.00 <br />0.00 <br />0.00 <br />37.67 <br />526.17 <br />0.00 <br />0.00 <br />526.17 <br />