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INVOICE <br />Begin Loading: <br />WEIGHMASTER CERTIFICATE <br />Arrive Job: <br />THIS IS TO CERTIFY that the following described commodity <br />Finish Unload: <br />was weighed, measured, or counted by a weighmaster, whose <br />Return Plant: <br />signature is on this certificate, who is a recognized authority of <br />accuracy, as prescribed by Chapter 7 (commencing with Section <br />- M E X <br />ZZC <br />12700) of Division 5 of the California Business and Professions <br />Tot. W.xTrlm <br />Code, administered by the Division of Measurement Standards <br />lb <br />of the California Department of Food and Agriculture. <br />85.13 0.39% <br />Excess water is detrimental to concrete quality. Increased water in concrete mix reduces strength and durability and increases shrinkage. <br />NOTE: <br />Buyer accepts responsibility for water added on job site, <br />which exceeds accepted water/cement ratio and workability specifications. <br />Plant: <br />Begin Loading: <br />To Job: <br />Arrive Job: <br />Start Unload: <br />Finish Unload: <br />Leave Job: <br />Return Plant: <br />Batchpc <br />Jar- Var, <br />r <br />Tot. W.xTrlm <br />a15CON1 2120.00 1b 21614.87 <br />lb <br />21700.00 lb <br />85.13 0.39% <br />Total Amount for This Ticket Not Including Standby Charges: <br />Cash Check # 1 Auth Code: <br />Signature of Driver Receiving Cash: <br />Cash Received: <br />Total COD Order Amount to Collect <br />-23.00 -9.23% <br />Without Standby Charges: <br />Check <br />299.00 gal + <br />10.24 155% <br />299.00 g1 <br />Charge <br />tuai Num Batches: 2 <br />Customer Code: Customer Name: <br />Project Code: Project Name: <br />Ticket Date: Delivery Address: <br />Delivery Instructions: <br />Due On Jab: Slump: - Load: Truck Number: <br />LOAD CUMULATIVE ORDERED MATERIAL CODE <br />QUANTITY QUANTITY QUANTITY <br />wsromer,ioD rvumoer. Qraer uuue r uate. <br />Deputy Weighmaster: Order P.O. Number: <br />Map Page: <br />Driver Number: I Driver Name: <br />PRODUCTION DESCRIPTION <br />Ticket Number: <br />End Use: <br />UOM I UNIT PRICE I AMOUNT <br />Water Added Curb Line Crossed At Owner's SUB TOTAL <br />IN GALLONS: Agent's Request: 0 t" �; <br />� AUTHORIZED SIGNATURE <br />TAX <br />- Print Name: Date <br />OO Signature above signifies receipt and acceptance of the listed materials and acknowledge- TOTAL <br />INITIALS INITIALS ment of and agreement to the CEMEX terms and conditions. <br />BATCH DATA: .� —s h <br />�� � � 91; <br />l` 11:11:: B/16llH <br />80UNIVERSAL Rev 4/12 <br />i'ici er-ia lDesiUt j5CA4F1Eaq1_t:lY'r',ri <br />Batchpc <br />Jar- Var, <br />Y.MoisturflctuaWat <br />Tot. W.xTrlm <br />a15CON1 2120.00 1b 21614.87 <br />lb <br />21700.00 lb <br />85.13 0.39% <br />7.32% A 177.43 91 <br />177.433 <br />1334.08 lb 7923.00 <br />lb <br />380@.08 1b <br />-23.00 -9.23% <br />68.08 gal 288.76 <br />gal <br />299.00 gal + <br />10.24 155% <br />299.00 g1 <br />249.00 -11.00 gl <br />tuai Num Batches: 2 <br />Manual <br />11:83:21 <br />p- <br />(h. Irl rl ! <br />Act lal 476, 4 <br />T O <br />r � }. <br />1 Add: <br />80UNIVERSAL Rev 4/12 <br />