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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/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.: 170856 <br /> weighmaster whose signature is in this certificate,who is WEIGHMASTER <br /> a recognized authority of accuracy, as prescribed by Cust No.: MAS292 <br /> chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions code. Inv. Date : 06/29/16 <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 /> MASELLIS DRILLING INC HUTCHINGSON RD <br /> 119 ALBERS ROAD W/O AUSTIN RD <br /> MODESTO, CA 95357 RIPON WEIGHED AT: <br /> 1900 ROOSEVELT AVI <br /> 209 522-1928 ESCALON,CA 9532( <br /> REA Y 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 /> LEAVE 'Customer acknowledges he has liability insurance on vehicle to <br /> YARDS PLANT be used In tow trailer. TRUCK NO: rl <br /> Zdd <br /> o return n an r e of concrete. If <br /> NUMBER ARRIVE not property ad after use,customer agrees to pay an <br /> OFLOADS ONJOB !clean' charge. TRAILER: <br /> OTAL YARDS START mer her agrees to assume all responsibility for damageONJOB POUR r, damage resulting from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN END t iter while it is in his custody. Customer also agrees to <br /> NUMBER `� POUR ll alifornia State Traffic Laws and is responsible for anyATER ADD RRIVE s r d while using the trailer. _ VEH.LIC.# <br /> ilers out overnig <br /> N JOB PLANT ❑PICKE P DELIVER <br /> Ship Date PO# Due Date Driver <br /> 06/29116 SLURRY/HUTCHINGSON Email copy of Invoice <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 6.000 YD SAND00103 SAND SLURRY 10.3 136.5000 819.00 <br /> 10.3 SK SAND SLURRY <br /> Subtotal 819.00 <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 65.52 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 884.52 <br /> RECEIVED BY: Payments 0.00 <br /> F1 No one on job site Deposits 0.00 <br /> Net Balance Due $ 884.52 <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 />