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California Rock & Ready Mix 1200 E. Turner Rd. • Lodi, CA 95240 132715 (209) 368-5351 • Fax-(209) 368-5824 *)Tq Y 5 C NAMETre, Lll "' �r�`�n,DATE ADDRESS 1 �, -1 .I I I� PHONE 1 JOB SITE 'CG t �" TIME AM LJ E AM ❑ TRUCK NO. TRAILER NO. OU PM ❑11I N PM ❑ QTY. DESCRIPTION PRICE AMOUNT u EQUIPMENT RENTED PRICE/DAY SUB-TOTAL CAUTION HAND TROWEL Freshly mixed cement, mortar, HAND FLOAT SALES TAX I .. C� concrete or grout may cause skin EDGER EQUIPMENT injury. Avoid contact with skin RENTAL where possible and wash exposed TRAILER skin areas promptly with water. If CLEANING any cement mixtures get Into eyes, CHARGE rinse Immediately and repeatedly with water and et prompt medical attention. KEW OUT OF REACH OF CHILDREN. TOTAL h (i SALES & RENTAL AGREEMENT •If the equipment is not properly cleaned atter use,lessee agrees to pay a$50 cleaning charge. •If the equipment is used more than two hours,fee of$25 per hour on weekdays and S35 per hour on weekends,will be charged. •The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use,and in consideration he agrees to pay the rental charge and si-n this agreement.The lessee further agrees not to sell,loan,sublet or mortgage the leased equipment and to return the same in as good condition as when received. •The lessee acknowledges that he has inspected said trailer,trailer hitch and safety chain,and 11-71 other items of equipment, and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same agreeing to assume all responsibility for said leased equipment while it is in his custody. •The lessee further agrees to indemnity and save California Rock&Ready Mix harmless from any liability,claim or ex- pense arising from any injury or damage to his person or property that may occur while said equipment is in his custody or as a proximate result of its being in his custody.In the event of any accident,the lessee agrees to make a written report to California Rock&Ready Mix. •The lessee agrees to comply with all laws of the State covering the use of trailers,to travel within the speed limit,and to as- sume all responsibility for fire, theft,confiscation, and all citations and penalties incurred against said trailer while in his possession. We are not responsible for any damage encountered while California Rock&Ready Mix Is delivering materials customer has ordered.Customer will pay all tow charges if our truck or equipment gets stuck while dumping or working in the area the customer requested. T SIGNATURE LICENSE X