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r <br /> ANTIOCH B 385396 <br /> BUILDING MATERIALS CO. <br /> Plttsburg Plant Brentwood Plant <br /> 1375 California Ave. Remit to:P.O.BOX 870 2170 Elkins Way <br /> Pittsbur CA ANTIOCH,CALIFORNIA 94509 <br /> g. PHONE: 925 432-0171 Brentwood,CA <br /> Phone 432-3828 Ph ne 513-7268 <br /> • . ■ 1 , ■ ■ <br /> DELIVERY LIABILITY PRODUCT ' <br /> The purchaser agrees to provide safe roadways for delivery. This company will not assume liability for damage to sidewalks, We do not guarantee or assume responsibility for admixtures <br /> driveways, tools, equipment or any other property off of public roadways. Our driver will follow customer direction after added by others to the concrete.Also,due to variables involved In <br /> leaving public roadways. All agents of customer will be responsible for monitoring their equipment. This company assumes placing,finishing and curing concrete,we cannot be responsible <br /> for surface defects or for color variation when color is added to <br /> no liability for agent's tools or equipment including but not limited to pumping equipment. the mixture. <br /> WEIGHMASTER CERTIFICATE TIME TIME TIME TIME TIME <br /> PLANT <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured or LEFT PLANT ARRIVED AT SITE DONE POURING LEFT SITE RETUPNED TD <br /> counted by a weighmaster.Whose signature is on this certificate,who is a recognized authority, <br /> of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of <br /> the California Business and Professions Code, administered by the Divisions of Measurement <br /> Standards of the California Department of Food and Agriculture. <br /> PLANT NO. DATE TIME OUT TICKET NO. <br /> F <br /> u <br /> ABM JOB# LOT# CUSTOMER JOB# <br /> L J <br /> TRUCK NO. RUNNING RUNNING RUNNING SLUMP PURCHASE ORDER NUMBER <br /> TRUCK TOTAL PRODUCT TOTAL JOB TOTAL <br /> WEATHER <br /> DRIVER CONDITIONS <br /> QUANTITY UM PRODUCT NUMBER DESCRIPTION UNIT PRICE TOTAL <br /> SUBTOTAL <br /> MISC. <br /> CHARGES <br /> TAX <br /> TOTAL <br /> GALLONS OF WATER ADDED <br /> AMOUNT PAID <br /> ANY WATER ADDED ON THE JOB WILL X <br /> BEAT THE PURCHASER'S DIRECTION CERTIFIED WEIGHMASTER <br /> AND RISK. <br /> I hereby state that I am an authorized agent of purchaser and as such herewith assume full responsibility <br /> for payment according to stated terms in our credit agreement on the front of this weigh tag and our <br /> TERMS AND DISCLOSURE STATEMENT company credit agreement on file. <br /> Customer agrees to pay in full on all products received with no deductions for any reason. <br /> Seller reserves and may exercise its statutory rights <br /> as provided for In the Mechanics Lien and Bond <br /> statutes.If payment Is not received within terms of X <br /> net 25th unpaid balance will be subject to Finance <br /> Charge computed by "periodic rate" or 11/2% per DELIVERY INSPECTED AND APPROVED BY(PRINT NAME) <br /> month. Customer agrees to pay a reasonable <br /> attorney's tee and all other costs of collection. X <br /> SIGNATURE <br />