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WEIGFIM14S ER CERTIFICATE <br /> TM ra TO CL"Fv nraf data bAoo*ry dmcnbdd eamnoelry rale <br /> W~by a waformMtar.--Wr tl mAn M on oft WIlpiaab.who I <br /> of eounacy,a pncrlbed M Chapter 7(comnrarrclne wrier secom 19 <br /> Caefornla Et,611" ,and ProMrlom Coda,adrnlnfa1- by the lel <br /> lltlndardi or the CaflTanla DeorinMrrf of Food rW Ag&ultura. <br /> PEARS, <br /> CAUTION - 10284 UNbERw <br /> ' TELEP <br /> Freshly mixed cement, mortar, <br /> concrete or grout may cause skin ORDER NO. <br /> Injury. Avoid contact with skin where CUSTOMER k-- <br /> possible and wash exposed skin i <br /> areas promptly with water. If any <br /> cement mixtures get Into eyes, rinse DRIVER TRUCK <br /> Immediately and repeatedly with <br /> water and get prompt medical CONCRiTE MIX STAT <br /> attention. CEMENTDYtx 1 ARRI <br /> KEEP OUT OF REACH OF CHILDREN. A ' LEA% <br /> A-2 bw <br /> A � <br /> A-3 TOT) <br /> -4 FREI <br /> Dear Customer. <br /> WAAR' <br /> NET <br /> TII;S LOAD SAC <br /> GUAHANTEED + CUBIC Co <br /> NOTICE: WE MAK -DELIVERIES INSIDE THE CURB LI14E TO YIELD T YARDS 3 CR Te <br /> AT CUSTOMER'S RISK ONLY, AND ACCEPT NO �"PEARSo READY,NIX NCRETI <br /> RESPONSIBILITY WHATSOEVER FOR DAMAGES eY "r <br /> RESULTING FROM SUCH DELIVERIES. QUANTITY UNITS DESCRIPTION <br /> 11te driver of this truck,In requesting the additional signature heiow,is of the opinion CU YDS CONCRETE <br /> that the size and weight of the truck may possibly cause damages to the premises <br /> and/or adjacent property it the driver places the materla;in this load where you desire <br /> it.It is our wish to help you in every way that we can,but In order to do this,the driver <br /> is requesting that you or your representative aigri below indicating you haw released —the driver and PEARSONS CONCRETE from all responsibilty for any damage that <br /> may occur to the premises and/of adjacent property,bulldings,sidewalks,driveways, <br /> curbs, etc. by the delivery of this material. Further,as additional consideration, you <br /> 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 Indemnify and hold <br /> harmkss the driver of thi,truok and PEARSONS CONCRETE for arty and all liabflltiee MIN. STAND BY TIME <br /> ' and damages to the premises and/or adjacent propefty which may be cWmed by <br /> myons to have a!issn out of delivery of this order. HOURS RENTAL <br /> 5 MINUTES PER YARD FREE CHARGE C.O.D <br /> Signature: UNLOADING TIME ALLOWED <br /> •� ERRORS IN PRICE EXTENSION AND ADDITII <br /> TERMS: Net 34 Days.One and one-half(1112%)percent pet <br /> Any raesonablle legal fen Incurred in collection of <br /> Recalwd B}R V <br /> GERMM1Y SROTHERS PRINTING REV.9/01 <br />