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CUSTOMER NAME <br />JIM THORPE OIL CO <br />CUSTOMER I.D. ORDER I.D. <br />128220 1 0601 <br />GRRnrm <br />conmumon <br />iomPRny Sly <br />TELEPHONE NUMBERS: <br />• AGGREGATE /AC DISPATCH 855-449: <br />• GENERAL INFORMATION 855-4401 <br />Gross Scale: Scale 1 <br />Gross In: <br />Tare Scale: <br />Tare In: IN <br />DELIVERY ADDRESS: WEIGHED AT:4291 BRADSHAW, SACRAMENTO-,,'. <br />ARAMART / ARDEN WAY WE MAKE DELIVERIES INSIDE THE CURB LINE AND ON THE LOT AT CUSTOMER'S RISK ONI <br />SACRAMENTO AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR DAMAGES RESULTING FROM SUC <br />DELIVERIES. <br />MONWA T PENALTY OF 1 129E WILL BE APPLIED ON PAST DUE BALANCES MONTH <br />#420f -/e r(/ &9 _ No.506541 <br />DATE <br />CUSTOMER P.O. NO. OR JOB NO. <br />DRIVER <br />[IN <br />❑ <br />OFF FOR GROSS <br />TICKET NO. <br />06/k�4/9; <br />�( <br />AND TARE <br />50654 <br />TIME TICKETED <br />R O. B. <br />@ PICK UP <br />Scale 1 <br />lb <br />1113 <br />PRODUCT I.D. <br />PRODUCT DESCRIPTION <br />ZONE <br />ARRIVE JOB <br />102 <br />,3/4"AB CL2 <br />39mm <br />GROSSWTANJS <br />TARE WTJTONS <br />19. i19ETWT.LOAONO. _ <br />TOTAL SHIPPED /TONS <br />DEPART JOB <br />35.13 <br />16.00 <br />19.13 TO <br />19.13 <br />TRUCK NO. <br />TRUCK BROKER <br />TRUCK OWNER <br />VEH. LIC. <br />STANDBY TIME <br />JT <br />i JIM THORPE <br />SPECIAL INSTRUCTIONS <br />REMMED TINE <br />UNIT PRICE <br />NET PRICE <br />HAULCHARGE <br />SUBTOTAL <br />TAX <br />GRAND TOTAL <br />TOTALTIME' <br />WEIGHMASTER <br />DEPUTY <br />TOTAL MILES <br />GRANITE CONSTRUCTION COMPANY <br />M. JONES <br />j <br />WGGMMA5IEH5 CERTIFICATE <br />THIS IS TO CERTIFY THAT THE DESCRIBED COMMODITY WAS WEIGHED, MEASURED OR COUNTED BY A <br />WEIGHMASTER. WHOSE SIGNATURE IS ON THIS CERTIFICATE, WHO IS A RECOGNIZED AUTHORITY OF <br />ACCURACY, AS PRESCRIBED BY CHAPTER 7 (COMMENCING WITH SECTION 12700) OF DIVISION 5 OF THE <br />CALIFORNIA BUSINESS AND PROFESSIONS CODE, ADMINISTERED BY THE DIVISION OF MEASUREMENT <br />STANDARDS OF THE CALIFORNIA DEPARTMENT OF FOOD AND AGRICULTURE. <br />* Predetermined Tare <br />COPY 2 GCC #108 <br />