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California.Rock & Ready Mix <br /> 1200 E. Turner Rd. - Lodi, CA 95240 130623 <br /> (209) 368-5351 • Fax (209) 368-5824 <br /> i) <br /> NAME �PtTtll I DATE:!� <br /> ADDRESS = l Gt r'`e-'l+- r /lI�� PHONE <br /> JOB SITE <br /> TIME AM ❑ 1 TIME AM ❑ TRUCK NO. TRAILER NO, <br /> OUT Z'- PM ❑ JIN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> (v L 3 Sc�c <br /> rr <br /> C\�. <br /> I titPINENI RENTED <br /> CAUTIONii HAND TROWEL <br /> Freshly mixed cement, mortar, HAND FLOAT <br /> concrete or grout may cause skin EDGER <br /> mrry Avoid contact with skin <br /> where possible and wash exposed TRAILER <br /> skin areas promptly with water. If <br /> any cement mixtures get Into eyes, <br /> rinse Immediately and repeatedly <br /> with water andet prompt medical <br /> attention. KEEFOUT OF REACH <br /> OF CHILDREN. <br /> SALES & RENTAL AGR MIN <br /> •It the equipment is not properly cleaned after use,lessee agrees to pay a 5, C42 Code: MATCH M <br /> •If the equipment is used more than two hours,fee of$25 per hour on x <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered' <br /> consideration he agrees to pay the rental charge and sign this agreement.T <br /> mortgage the leased equipment and to return the same in as good condition I agree to par above total amount <br /> •Thelessee acknowledges that he has inspected said trailer,trailer hitch a according to card issuer agreement <br /> and that he has found the trailer and hook-up safe and secure and the o (Merchant agreement if credit voucher) <br /> agreeing to assume all responsibility for said leased equipment while it is in I <br /> •The lessee further agrees to indemnify and save California Rock&R <br /> pense arising from any injury or damage to his person or property that may, <br /> proximate result of its being In his custody.In the event of any accident, <br /> California Rock&Ready Mix. <br /> •The lessee agrees to comply with all laws of the State covering the use o <br /> sume all responsibility for fire, theft, confiscation, and all citations and 1 <br /> possession. <br /> We are not responsible for any damage encountered while Cal Merchant copy <br /> materials customer has ordered. Customer will pay all tow ch. fIiANK YOU <br /> while dumpingor working in the area the customer requested. <br /> IATURE PLEASE COME AGAIN <br /> X <br />