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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was <br /> weighed, measured, or counted by a weighmaster, whose <br /> INVOICE signature is on this certificate;who is a recognized authority r DELIVERY TAG <br /> accuracy,as prescribed by Chapter 7(commencing with Sectio <br /> r 12700)of Division 5 of the Cahfomfa Business and Profession. <br /> Code,administered by the Division of Measurement Standards of <br /> the California Department of Food and Agriculture. <br /> SOLD BY <br /> MODESTO THC INC. <br /> TRAILER HAUL CONCRETE <br /> 1306 BLUE GUM AVE. PHONE 529-4862 <br /> MODESTO,CA 95351 <br /> NAME _ _ DATE ��f <br /> ADDRESS CITY !�dr <br /> DRIVER'S LICENSE PURCHASE ORDER <br /> PHONE# <br /> METHOD OTIME OUT START <br /> VEH I D. HARGE <br /> IAQ <br /> r ❑CASH <br /> : ❑CHECKSTOP TIME IN <br /> Ll CREDIT CARD <br /> QUANTITY DESCRIPTIO14 PRICE AMOUNT <br /> 6<Cu.Yds. <br /> d` <br /> Lbs. •�f" <br /> Cob, <br /> Fiber <br /> Delivery <br /> WATER ADDED AT SUBTOTAL <br /> CUSTOMER'S REQUEST GAL <br /> �lr <br /> CUSTOMER SIGNATURE SALES TAX 4 Z <br /> BECAUSE THE CONDITIONS OF USE AND APPLICATION • <br /> OF OUR PRODUCTS ARE BEYOND OUR CONTROL, 6a I <br /> MODESTO THC, INC. MAKES NO WARRANTY OF STAND BY <br /> MERCHANTABILITY OF FITNESS FOR ANY PARTICULAR <br /> PURPOSE OR COLOR MATCH AND EXPRESSLYDISCLAIMS LIABILITY _ <br /> INCIDENTAL DAMAGES. FOR CONSEQUENTIAL OR TOTAL SALE* <br /> NOTICE-WE MAKE DELIVERIES INSIDE THE CURB LINE <br /> AT CUSTOMER'S RISK ONLY, AND ACCEPT NO <br /> RESPONSIBILITY WHATSOEVER FOR DAMAGES RETURNED CHECK CHARGE$25.00 <br /> RESULTING FROM SUCH DELIVERIES. <br /> SIGNATOR BELOW AGREES TO PAY ALL COLLECTION <br />-- FEES, RETURNED CHECK CHARGES AND LATE <br /> CHARGES. THE LATE CHARGE IS AT 1 112%PER <br /> MONTH ON BALANCE OWED(18%PER ANNUM). 105344 <br /> WEIGHED/MEASURED AT <br /> MODESTO,CALIFORNIA BY DEPUTY <br /> t <br /> X <br /> AUTHORIZEDRECEIVED BY <br /> THC 01 <br />