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L CONCRETE PRODUCTS ING$ <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 P & L CONCRETE PRODUCTS INC. <br /> commodity was weighed, measured, or counted by a Invoice No.: 90795 <br /> weighmaster whose signature is in this certificate,who is WEIGHMASTER Cust No.: MCD3932 <br /> a recognized authority of accuracy, as prescribed by <br /> chapter 7(commencing with Section 12700)of Division 5 Inv. Date : 04/18/11 <br /> of the California Business and Professions code. Fran Machado <br /> Administered by the Division of Measurement Standards BY: _ Page No.: 1 <br /> of the California Department of Food and Agriculture. DEPUTY <br /> SOLD TO: DESTINATION: <br /> MC DOWELL& DAVIS MC DOWELL & DAVIS <br /> 1360 ESCALON AVENUE 1360 ESCALON AVENUE <br /> ESCALON, CA 95320 ESCALON, CA 95320 WEIGHEDAT: <br /> 1900 ROOSEVELT AVE. <br /> 209 838-3932 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. <br /> •Customer acknowledges he has liability insurance on vehicle to EQUIP ENT <br /> LEAVE be used in tow trailer. <br /> YARDS PLANT •Customer agrees to return er clean and free of concrete. If TRU <br /> NUMBER ARRIVE trailer is not properly cle after use,customer agrees to pay an <br /> OF LOADS ON JOB additional cleaning rge. TRAILER: <br /> TOTAL YARDS START 'Customer fu agrees to assume all responsibility for damage <br /> ON JOB POUR to trailer,0 mage resulting from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN E for sai filer while it is in his custody. Customer also agrees to <br /> NUMBER POUR ob all California State Traffic Laws and is responsible for any <br /> WATER ADD /' ARRIVE ations received while using the trailer. VEH. LIC.# \ <br /> N JOB PLANT / •No trailers out overnight. INITIALS ' <br /> Q PICKED UP DELIVERED <br /> Shi ate PO# Due Date Driver <br /> 04/18/11 SANDY LOAM/SANDY BA C.O.D. <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 3.000 YD SANDY LOAM TOP SC LOAM/SOIL 39.0000 117.00 <br /> 1.000 EA DEL CHG 1 LOCAL DEL CHARGE 25.0000 25.00 <br /> 0.000 EA BAG SAND SAND BAG/FILLED n 5.5000 165.00 <br /> � I <br /> Subtotal 307.00 <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 24.68 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 331.68 <br /> RECEIVED BY: Payments 0.00 <br /> ❑No one on job site Deposits 0.00 <br /> Net Balance Due $ 331.68 <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 />