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California Rock & Ready Mix - <br /> 1200 E.-Turner Rd. • Lodi, CA 95240 130 127 <br /> (209) 368-5351 Fax (209) 368-5824 <br /> ,�� <br /> NAME DATE <br /> �vr <br /> ADDRESS LL`' " ���( F t� PHONE `G <br /> JOB SITE <br /> TIME AM TIME AMC Tp41LFR No <br /> OUTO I£� PM ❑ IN PM C <br /> QTY. DESCRIPTION <br /> 3 CALIFORNIA ROCK AND READY MIX <br /> 1200 E TURNER RD <br /> LODI CA 95280 <br /> L`r, ( / 209 368-5351 <br /> Merchant ID: 0449 <br /> Term If: 0003 <br /> - Store u: 8039 <br /> tl l V Rif u: 0003 <br /> Phone Order <br /> XXXXXXXXXXXX3933 <br /> NN <br /> VISA Entry Method; Manual <br /> NT RENTED PRI <br /> CAUTIAND TROWELTotal: $ 876.83 <br /> Freshly mixed cement, mortar, HAND FLOAT <br /> concrete or grout may cause skin EDGER <br /> in Avoid contact with skin <br /> where possible and wash exposed TRAILER <br /> skin areas promptly with water. If 05104121 <br /> any cement mixtures get Into eyes, 07;31:31 <br /> rinse immediately and repeatedly Inv b; 000003 <br /> awith <br /> ttention. KEEP OUT OFt REACH fpr Code; 03942D <br /> OF CHILDREN. 1ra05aCt1011 ID: 38112452292638 <br /> Aparvd: Online � Batch ; 000770 <br /> SALES & RENTAL AGRI C42 Code. MATCH M <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a 5' <br /> •If the equipment is used more than two hours,fee of$25 per hour on%Acharged. <br /> •The lessee acknowledges that the above equipment has been aelivered <br /> consideration he agrees to Rey the rental charge and sign this agreement.T I agree to pav above total amount <br /> mortgage the leased equipment and to return the same in as good condition according to card issuer agreement <br /> •The lessee acknowledges that he has inspected said trailer,trailer hitch s (Merchant agreement if credit voucher) <br /> and that he has found the trailer and hook-up safe and secure and the c <br /> agreeing to assume all responsibility for said leased equipment while it is in <br /> -The lessee further agrees to indemnify and save California Rock&F <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 <br /> sume all responsibility for tire, theft, confiscation, and all citations and <br /> possession. Merchant Cour <br /> We are not responsible for any damage encountered while C <br /> materials customer has ordered.Customer will pay all tow c HANK YOU <br /> while dumping or workin in the area the customer requested PLEASE COME AGAIN <br /> SIGNATURE <br /> X <br />