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P & L CONCRETE PRODUCTS INC. <br /> 1900 ROOSEVELT AVE. `ESCALON, CA 95320 - 1763 <br /> WEIGHTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG I INVOICE <br /> THIS IS TO CERTIFY that the following described <br /> commodity was weighed. measured, or counted by a P & L CONCRETE PRODUCTS INC. Invoice No.: 153343 <br /> weighmaster whose signature is in this certificate, who is WEIGHMASTER <br /> a recognized authority of accuracy, as prescribed by Cust No.: MAS292 <br /> chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions code. Inv. Date : 06/03/15 <br /> Administered by the Division of Measurement Standards BY Guillermo Murillo Page No.: 1 <br /> of the California Department of Food and Agriculture <br /> DEPUTY <br /> SOLD TO: DESTINATION: <br /> MASELLIS DRILLING INC 2210 MURRAY RD <br /> 119 ALBERS ROAD S/O HWY 26 <br /> MODESTO, CA 95357 LINDEN <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 /> Customer acknowledges he has liability insurance on vehicle to EQUIPMENT NUMBER <br /> LEAVE be used in tow trailer. <br /> YARDS PLANT `Cuslomer agrees to return trailer clean and free cT concrete. If TRUCK NO- <br /> NUMBER ARRIVE trailer is not properly cleaned after use,customer agrees to pay an <br /> OF LOADS ON JOB additional cleaning charge. TRAILER <br /> TOTAL YARDS START 'Customer further agrees to assume all responsibility for damage <br /> ON JOB _ POUR to trailer,or damage resulting from trailer,including attorney fees, CDL # <br /> MIX DESIGN END for said trailer while it is in his custody. Customer also agrees to <br /> NUMBER POUR obey all California State Traffic Laws and is responsible for any <br /> WATER ADD ARRIVE citations received while using the trailer. VEH LIC. <br /> N JOB PLANT No trailers out overntght. -INITIALS <br /> D PICKED UP DOELIVERED <br /> Ship Date PO# Due Date Driver <br /> 06/03/15 SLURRY/MURRAY RD Email copy of Invoice <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 4 000 YD SAND00103 SAND SLURRY 10.3 1365000 546.00 <br /> 10.3 SK SAND SLURRY <br /> 1 000 EA SHORT SHORT LOAD (CONCRETE) 70.0000 7000 <br /> Subtotal 616.00 <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 000 <br /> Sales Tax 43.68 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 659.68 <br /> RECEIVED BY. _ Payments 000 <br /> ❑No one on job site Deposits 0.00 <br /> Net Balance Due S 659.68 <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 />