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d P & L CONCRETE PRODUCTS INC. 1 <br /> 1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 <br /> WEIGHTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG/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.: 174903 <br /> weighmastef 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 Inv. Date : 09/30/16 <br /> of the California Business and Professions code. <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 BACON ISLAND RD <br /> 119 ALBERS ROAD OFF HWY 4 <br /> MODESTO, CA 95357 STOCKTON 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. EQUIPMENT NUMBER <br /> *Customer acknowledges he has liability insurance on vehicle to <br /> LEAVE be used in tow trailer. <br /> YARDS PLANT *Customer agrees to return trailer clean and free of concrete. If TRUCK NO: <br /> NUMBER j 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 / ,11Z START *Customer further agrees to assume all responsibility for damage <br /> ON JOB POUR to trailer,or damage resulting from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN END for said trailer while it is in his custody. Customer also agrees to <br /> NUMBER l�'� 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 /> No trailers out overnight. INITIALS <br /> N JOB PLANT ❑PICKED UP ❑DELIVERED <br /> Ship DatePO# Due Date Driver <br /> 09/30/16 SLURRY/BACON ISLAN Email copy of Invoice <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 1.250 YD SAND00103 SAND SLURRY 10.3 139.5000 174.38 <br /> 10.3 SK SAND SLURRY <br /> 1.000 EA SHORT SHORT LOAD (CONCRETE) 150.0000 150.00 <br /> Subtotal 324.38 <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 0.00 <br /> Sales Tax 13.95 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 338.33 <br /> RECEIVED BY: Payments 0.00 <br /> ❑ No one on job site Deposits 0.00 <br /> Net Balance Due $ 338.33 <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 />