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/ C <br /> P Sr L CONCRETE PRODUCTS INC. [!/J <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.: 102906 <br /> weighmaster whose signature is in this certificate, who is WEIGHMASTER Cust No.: MAS292 <br /> a recognized authority of accuracy, as prescribed by <br /> chapter 7 (commencing with Section 12700)of Division 5 Inv. Date : 03/09/12 <br /> of the California Business and Professions code. Guillermo Murillo <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 /> MASELLIS DRILLING INC KETTLEMAN LANE <br /> 119 ALBERS ROAD W/O HWY 99/ DELTA PACKING <br /> MODESTO. CA 95357 DIRT RD WEIGHED AT <br /> LODI 1900 ROOSEVELT AVE <br /> 209 522-1928 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 /> Cus "er acknowled vehicle to EQUIPMENT NUMBER <br /> LEAVE be use ow railer. <br /> YARDS PLANT TRUCK NO. • <br /> ARRIVE 'Customer agrees to return trailer clean a o concrete. If <br /> NUMBER trailer is not properly cleaned afteryse;customer agrees to pay an <br /> F LOADS ON JOB additional cleaning charge. i TRAILER. <br /> TOTAL YARDS START 'Customer further agre to assume all responsibility for damage <br /> N JOB POUR to trailer,or damage r ulting from trailer,including attorney fees, C.D.L.If <br /> IX DESIGN / ��/ END for said trailer while it I in his custody. Customer also agrees to <br /> UMBER al) POUR obey all California Stater onsible for any <br /> ATER ADD ARRIVE citations received while using the trailer. VEH. LIC # <br /> N JOB PLANT 'No trailers out overnight. INITIALS <br /> ❑PIC LIVERE <br /> Ship Date IPO# Due Date Driver <br /> 03/09/12 SLURRY/KETTLEMAN L I 1.00%-10th/Net Next EOM (-F- <br /> 04 Shipped Item Number Description Unit Price Amount <br /> 8.000 YD SAND SLURRY 10.3 SACK 1295000 1036.00 <br /> Subtotal 1036.00 <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 80.29 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 1116.29 <br /> RECEIVED BY Payments 0.00 <br /> ❑ Deposits 0.00 <br /> No one on job site <br /> Net Balance Due $ 1116.29 <br /> CAUTIONCONCRETE 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 />