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P & L CONCRETE PRODUCTS INC. <br /> 1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 <br /> WEIGHTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG I INVOICE <br /> THIS IS TO CERTIFY that the following described <br /> commodity was weighed, measured, or counted by a P & L CONCRETE PRODUCTS INC. Invoice No.: 173007 <br /> weighmaster whose signature is in this certificate, who is WEIGHMASTER <br /> a recognized authority of accuracy, as prescribed by Cust No.: A&A9985 <br /> chapter 7(commencing with Section 12700)of Division 5 Inv. Date : 08/17/16 <br /> of the California Business and Professions code. <br /> Administered by the Division of Measurement Standards Guillermo Murillo Page No.: 1 <br /> of the California Department of Food and Agriculture. BY. <br /> DEPUTY <br /> SOLD TO: DESTINATION: <br /> A&A GROSS DRILLING 10347 S JACKTONE RD <br /> P O BOX 178 STOCKTON <br /> WOODBRIDGE, CA 95258 WEIGHED AT: <br /> 1900 ROOSEVELT AVE. <br /> 209 747-9985 ESCALON, CA 95320 <br /> READY 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. EQUIPMENT NUMBER <br /> *Customer acknowledges he has liability insurance on vehicle to <br /> LEAVE be used in tow trailer. <br /> YARDS PLANT *Customer agrees to return trailer clean and free of concrete. If TRUCK N0: <br /> NUMBER / ARRIVE trailer is not properly cleaned after use,customer agrees to pay an <br /> OF LOADS J ON JOB additional cleaning charge. TRAILER: <br /> TOTAL YARDS START *Customer further agrees to assume all responsibility for damage <br /> ON JOB F) POUR to trailer,or damage resulting from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN END for said trailer while it is in his custody. Customer also agrees to <br /> NUMBER % POUR obey all California State Traffic Laws and is responsible for any <br /> WATER ADD ARRIVE citations received while using the trailer. VEH.LIC.# <br /> No trailers out overnight. INITIALS <br /> N JOB PLANT ❑PICKED U01-r-E DELIVERED <br /> Ship Date PO# Due Date Driver <br /> 08/17/16 SLURRY/JACKTONE 1.00%-10th/Net Next EOM <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 5.000 YD SAND00103 SAND SLURRY 10.3 141.5000 707.50 <br /> 10.3 SK SAND SLURRY <br /> 1.000 EA SHORT SHORT LOAD (CONCRETE) 50.0000 50.00 <br /> Subtotal 757.50 <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 56.60 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 814.10 <br /> RECEIVED BY: Payments 0.00 <br /> ❑ No one on job site Deposits 0.00 <br /> Net Balance Due $ 814.10 <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 />