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F; �-�, , : .•.;' ' . P & L CONCRETE'PRO DUCTS INC. F ' <br /> j 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.: 94586 <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 r Inv. Date : 06/22/11 <br /> of, the California Business and Professions code. Guillermo Murillo Administered by the Division of Measurement Standards By. Page No.: 1 <br /> of the California Department of Food and Agriculture. DEPUTY <br /> i <br /> SOLD TO: DESTINATION: <br /> MASELLIS DRILLING INC 5995 SOLARI RANCH RD <br /> 119 ALBERS ROAD STOCKTON <br /> MODESTO, CA 95357 — <br /> ' WEIGHED AT: <br /> 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 /> LEAVE Customer acknowledges he has IiabilZy insurance on vehicle to EQUIPMENT NUMBER <br /> be used in tow4raN . <br /> YARDS PLANT TRUCK NO: __.�,.,rll <br /> Customer agrees to ret filer clean and free of concrete. If (1f -W <br /> NUMBER / ARRIVE trailer Is not properly aned after use,customer agrees to pay an <br /> OFLOADS ON JOB additional cieaninharge. _ TRAILER: <br /> OTAL YARD START 'Customer fun r agrees to assume all responsibility for damage <br /> ONJOB POUR to trailer,or da age resulting from trailer, including attomey fees, C.D.L.# <br /> MIX DESIGN _ q END for said trailer W JsJn.bis.custody:NCustomer also agrees to <br /> NUMBER U l POUR obVV sll California State Traffic Laws and is responsible for any <br /> WATER ADD RRIVE citations received while using.1he t6ileO VEH.LIC.# { <br /> N JOB PLANT `No trailers'out over`hight.•�jl JN`TIALS <br /> -�.t '� ❑PICKE ELIVERI <br /> Ship Date PO# Due Date' rDriver <br /> 06/22/11 PG I SOLARI RANCH RD 1.00%-10th/Net Next EOM . <br /> Qty Shipped Item Number Description Unit Price 'Amount <br /> 6.000 YD PG CONCRETE P�G,o ONCRETE 129.5000 777.00 <br /> 16.3 SK PG CONCRETE <br /> a / <br /> Subtotal 777.00 <br /> Misc. Charge 0.00 t <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 69.93 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 846.93 <br /> RECEIVED BY: Payments 0.00 <br /> ❑ No one on job site Deposits 0.00 <br /> Net Balance Due $ 846.93 <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID'CONTACT WIW 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) Financ Cha f eon past due accounts. <br /> �/� 0/ <br />