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^ !,� wEKiFM1AfTER CERTIFICATE <br /> S TMt3 19 y CERTIFYiime l that the top a le On a Car"ftCo"Wftottyte,who <br /> weighed, ed WAho ty <br /> oountW W•weiahrnaatar,wtroee alprrwre r on erb nrtlAcate,whoa•racogntsad authorMy <br /> d accuracy.p prwtdOW by CtrpYar 7(owwwocirq with Section 14700)o!Dgaion Solthe <br /> CaUforna Business and Prohne one Code,adminrswed by the DWAdon of Measurement <br /> SWwkrdt of Me California Department of Food and Aipm Murs. <br /> 10 _T PEARSONS CONCRETE <br /> CAUTION 10284 UNDERWOOD RD., ACAMPO, CA 95220 <br /> TELEPHONE (209) 334-9234 <br /> Freshly mixed cement, mortar, <br /> concrete or grout may cause skin ORDER NO. DATE 1 -� ;foo <br /> Injury. Avoid contact with skin where CUSTOMER <br /> possible and wash exposed skin l ` '' �: J-. �� T <br /> areas promptly with water. If any V <br /> cement mixtures get into eyes, rinse DRIVER ' TRUCK LOAD CU YDG <br /> Immediately and repeatedly with <br /> water and get prompt medical SONCRETE MIX START TIME ,r•' r't� <br /> attention. CEMENT ARRIVE JOB <br /> ADMIX t <br /> KEEP OUT OF REACH OF CHILDREN. A-j LEAVE JOB <br /> A-2 END TIME <br /> ADMII( 2 <br /> A-3 TOTAL <br /> A-4 FREE <br /> Dear Customer: <br /> WATER NET <br /> THIS LOAD SACK WEIGHED AT <br /> NOTICE: WE MAKE DELIVERIES INSIDE THE CURB LINE GUARANTEED CUBIC ; CON- Mix ,.A ., 901 SIMMERHORN <br /> TO YIELD YARDS CRETE NO. GALT,CA. <br /> AT CUSTOMER'S RISK ONLY, AND ACCEPT NO PEARSONS READY MIX CONCRETE INC.—WEIGHMASTER <br /> RESPONSIBILITY WHATSOEVER FOR DAMAGES BY —.- <br /> RESULTING FROM SUCH DELIVERIES. ,.is. QUANTITY UNITS ESCRIPTION UNITPRtCE AMOUNT <br /> The driver of this truck,.in requesting the additional signature Deign,is of tM opinion JMYDS .COWCRIETE <br /> ttiai.the size and wei0t of the truck may possibly Cause damages to tho premises <br /> and/or adjacent property if the driver places the material In this load where you desire <br /> it.It is our wish to helpyou in every way that we Care,but in order to do this,the driver <br /> Is requesting that-y6u or your representative sign berow indicating yoJ have rebased <br /> the driver and PEARSONS CONCRETE from all responsibilty for any damage that <br /> may occur to the premises and/or adjacent property,buildings,sidewalks,driveways, <br /> curbs,etc. by the delivery of this material. Further, as additional consideration, you <br /> j agree to help the driver remove mud from the wheels of the driver's vehicle so that <br /> the driver will not litter the public street, and you agree to indemnity and hold <br /> harmless the driver of this truck and PEARSONS CONCRETE for any and all liabilities MIN. STAND BY TIME <br /> and damages to the premises and/or adjacent property which may be clalrrled by <br /> anyone to have arisen out of delivery of this order. HOURS RENTAL <br /> 5 MINUTES PER YARD FREE 1CHARGE1 C.O.D. <br /> Signature; UNLOADING TIME ALLOWED TOTAL <br /> ERRORS IN PRICE EXTENSION AND ADDITION SUBJECT TO CORRECTIONS <br /> TERMS: Net 30 Days.One and ons-half(I iizx)percent per month will be charged on past due accounts. <br /> Any reasonable legal fees Incurred In collection of above will be added to this charge. <br /> , <br /> a, Received 8y: <br /> X <br /> GERMANY BROTHERS PRINTING — REV9/01 <br />