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Lifalitornia Rack & <br /> 1200 E. Turner Rd, Ready Mix <br /> (209) 3.68-5351 nodi, CA 95240 <br /> Fax (209) 368-5824 <br /> NAME <br /> ` <br /> ADDRESS DATE,� � ��j � �, � ' <br /> - <br /> JOB SITE / <br /> TIME C. � �1 � c- F - 7 <br /> �/�� �J�r AM TIME <br /> OUT PM IN AM ❑ TRUC NO� TRAILER O. <br /> Qn_ DESCRIPTION PM� <br /> PRICE AMOUNT <br /> EQUIPMENT RENTED PRICErDpy <br /> CAUTION HAND TROWEL SUB-TOTAL 0. <br /> Freshly mixed cement, mortar, HAND FLOAT - <br /> concrete or grout may cause skin SALES TAX _-- ~ <br /> injury, Avoid contact with skin EDGER f/ Com' <br /> where possible and wash exposed EQUIPMENT <br /> skin areas promptly with water. if TRAILER RENTAL <br /> any cement mixtures get into eyes, CLEANING <br /> rinse immediately and repeatedly <br /> with water and et promppt medical CHARGE <br /> attention. KEE�OUT OF REACH f <br /> OF CHILDREN. <br /> SALES & RENTAL AGREEMENTTOTAL <br /> •It the equipment Is not Properly cleaned after use,lasso©a / <br /> •it the equipment Is used more than two groes to <br /> charged bourse' of a pay a$50 cleaning charge, <br /> •The lessee acknowledges 5 per hour on weekdays and S3S <br /> ledges that thea Pe!hour on weakgnds, will be <br /> consideration he agrees to above equipment has een aeliv r ! <br /> mon9a0•�a I Pay the rental charge e ed to his custody and nirol for Mg <br /> eased a of g and sign this agreement.The lessee further rr�ln use,and in <br /> •The le q pmenl and to return the same in as good condition as when re snot to lett, <br /> and that he has found drhe trailer that ta d hook-up sa/e end secure and the other equipment chain. <br /> h nl sa tae n.sublet or <br /> e has Inspectedsame frailer,bailor hitch and safety c a n,danU the other hams of equipment. <br /> agreeing to assume all responsibility for said leased equipment while if is in his custody. <br /> •The lessee further agrees to indemnifyMceeWe and he accagotspaerry <br /> Dense arising from any Intury or dame and save California Rock&Ready Al harmless from any liability,claim or ex. ' <br /> Proximate result of Its being jrl his cust to his person n of any <br /> that may Occur while said equipment Is In his Custody or as a <br /> California Rock&Ready Mtx custody. In the event of any accidenl,the lessee agrees•The lessee ag oes to 9 ees to make a written report to <br /> sumo all res c�p�'with all laws of the Slate covering the use of 1 1 <br /> possibility for nra, theft, confiscation, nal ars,to travel within t <br /> MsseasJon. and all citations and Penalties incurred against said trailer while in his <br /> he up ad limit,and to aa- <br /> We ere not rasponaibie for an _ <br /> Y damage encountered while California Rack 8•Read Mix <br /> matlMals customer has ordered. Customer w111 a <br /> while dura In or workingin the area the customer requested. y Is delivering <br /> pay all tow charges if our truck or equipment gats stuck <br /> . E <br /> X_--- -- l UC NS <br /> J <br />