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P & L CONCRETE PRODUCTS INC. 7 t <br /> 1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 <br /> WEIGHTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG / INVOICE <br /> THIS IS TO CERTIFY that the following described P & L CONCRETE PRODUCTS INC. <br /> commodity was weighed, measured, or counted by a Invoice No.: 175720 <br /> weighmaster whose signature is in this certificate, who is WEIGHMASTER <br /> a recognized authority of accuracy, as prescribed by CUSt NO.: CLE3324 <br /> chapter 7(commencing with Section 12700)of Division 5 Inv. Date : 10/20/16 <br /> of the California Business and Professions code. <br /> Administered by the Division of Measurement Standards BY: Guillermo Murillo Page No.: 1 <br /> of the California Department of Food and Agriculture. - <br /> DEPUTY <br /> SOLD TO: DESTINATION: <br /> CLEARWATER DRILLING ST JOHN & CATHERINE <br /> TOBY VON ALVENSLEBEN S/W CORNER <br /> 2308 YOSEMITE AVE ESCALON WEIGHED AT: <br /> ESCALON, CA 95320 1900 ROOSEVELT AVE. <br /> r209) 03-3324 ESCALON, CA 95320READY MIX CONCRETE Customer agrees to return trailer in two hours from time out or VEHICLE LICENSE OR <br /> pay$1.25 for each additional minute over two hours. <br /> "Customer acknowledges he has liability insurance on vehicle to EQUIPMENT NUMBER <br /> --3--LEAVE be used in tow trailer. <br /> PLANT 'Customer agrees to return tra'let_cleaFl-arntl�r�n ncrete. If TRUCK N0: <br /> NUMBER / ARRIVE trailer is not pTpp ned after-use;customer agrees to pay an <br /> OF LOADS / ON JOB addition aning charge, TRAILER: <br /> TOTAL YARDS START 'Customer furtheLisin <br /> assume all responsibility for damage <br /> ON JOB POUR to trailer,or damg from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN END for said trailer is custody. Customer also agrees to <br /> NUMBER ��('J POUR obey all Calif niaffic Laws and is responsible for anycitations receiv the trailer. VEH.LIC.# <br /> WATER ADD ARRIVE *No trailers out overnight. INITIALS_ <br /> N JOB PLANT ❑PICKED�B IVERED <br /> Ship Date PO# Due Date Driver <br /> 10/20/16 SLURRY/SEXTON C.O.D. <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 3.000 YD SAND00103 SAND SLURRY 10.3 141.5000 424.50 <br /> 10.3 SK SAND SLURRY <br /> 1.000 EA SHORT SHORT LOAD (CONCRETE) 50.0000 50.00 <br /> Subtotal 474.50 <br /> _ Misc. Charge 0.00 <br /> P & L CONCRETE PRODUCTS, INC. ASSUMES NO RESPONSIBILITY FOR Freight Charge 0.00 <br /> DAMAGE INCURRED IN DELIVERING MATERIALS INSIDE THE CURB LINE. Discount 0.00 <br /> Sales Tax 33.96 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 508.46 <br /> RECEIVED BY Payments 0.00 <br /> ❑ No one on job site Deposits 0.00 <br /> Net Balance Due $ 508.46 <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <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 />