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P & L CONCRETE PRODUCTS INC. <br /> 1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 / <br /> WEICINTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG I INVOICE <br /> THIS IS TO 'tERTIFY that the following described <br /> commodity was weighed, measured, or counted by a P & L CONCRETE PRODUCTS INC. Invoice No.: 171826 <br /> weighmaster whose signature is in this certificate, who is WEIGIHMASTER <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 : 07/20/16 <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 18455 E GAWNE 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 ac on vehicle to <br /> LEAVE U be used`tfiftowtrailer. <br /> YARDS PLANT - l 'Customer agrees to return trailer clean_ar�d-free o�fi concrete. if TRUCK N0: <br /> NUMBER ARRIVE o © trailer is not properly cleaned aftervse,customer agrees to pay an <br /> OF LOADS / ON JOB , additional cleaning charge. TRAILER: <br /> TOTAL YARDS START * `Customer further-agrees to assume all responsibility for damage <br /> ON JOB POUR to trailer,or da 'ge resulting from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN END for said trail while it is in his custody. Customer also agrees to <br /> NUMBER / POUR obey all Cali is State Traffic Laws and is responsible for any <br /> citations received w i e using the Trailer. VEH.LIC.# <br /> WATER ADD ARRIVE `No trailers out overnight. INITIALS <br /> N JOB PLANT ❑PICKED UELIVERED <br /> Ship Date PO# Due Date Driv <br /> 07/20/16 SLURRY/GAWNE 1.00%-10th/Net Next EOM F Q <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 />