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I� <br /> W <br /> P & L CONCRETE PRODUCTS INC. <br /> 1900 ROOSEVELT AVE - ESCALON, CA 95320 - 1763 <br /> WEIGHTMASTER CERTIFICATE (209) 538.-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG/INVOICE <br /> THIS IS TO CERTIFY Git 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 WEIGHEDAT <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. EQUIPMENT NUMBER <br /> 'Customer acknowledges he has liability insurance on vehicle to <br /> LEAVE f r be used in toWlraller. <br /> YARDS PLANTTRUCK NCA <br /> �+ <br /> ..1. 'Customer agrees to return trailer clean and free of concrete. If t <br /> NUMBER / <br /> OFLOADS ONNJOB trailer is not properly cleaned after use,customer agrees to pay an <br /> OB ti, - additional cleaning charge. TRAILER, <br /> TOTAL YARDS START 'Customer further agrees to assume all responsibility for damage <br /> ONJOB POUR to trailer,or damage resulting from trailer, including attorney fees, C.D.L.# <br /> IX DESIGN7c�1 END for said trailer while lt is in his custody. Customer also agrees to <br /> UMBER c✓J POUR obey all California State Traffic-Le and.i9 fesponsible for any <br /> NATER ADD ARRIVE citations received while using the trailer. - VEH. LIC.# <br /> N JOB PLANT 'No trailers out overnight. INITIALS <br /> ❑PICKED UP(DELIVERE <br /> Ship Date PO# Due Date Driver <br /> 03/09/12 SLURRY/KETTLEMAN L 1.00%-10th/Net Next EOM ` ;/ <br /> Oty Shipped Item Number Description Unit Price Amount <br /> 8.000 YD SAND SLURRY 10.3 SACK 129.5000 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 /> F1No one on job site <br /> Net Balance Due $ 1116.29 <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 />