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California Rock & Ready Mix <br />` 1200 E. Turner Rd. • Lodi, CA 95240 135252 <br />(209) 368-5351 • Fax (209) 368-5824 <br />qZ-1 <br />NAME f���-� DATE <br />ADDRESS 1 9 a-7 f`��v1C1 t CI��L`% PHONE <br />Inn CITE / A. - <br />TIME AM ❑ <br />OUT / (�- ��- PM ❑ <br />TIME AMC <br />IN PM ❑ <br />TRUCK NO. <br />TRAILER NO. <br />QTY. DESCRIPTION <br />PRICE <br />AMOUNT <br />3 Ce_ cV <br />TIO <br />-Fr hly Ixed mortar, <br />o e or grout may cause skin <br />injury. Avoid contact with skin <br />where possible and wash exposed <br />skin areas promptly with water. If <br />any cement mixtures get Into eyes, <br />rinse Immediately and repeatedly <br />with water and get prompt medical <br />attention. KEEP OUT OF REACH <br />OF CHILDREN. <br />EQUIPMENT RENTED PRICE/DAY <br />SUB -TOTAL <br />HAND <br />HAND TROWEL <br />SALES TAX <br />HAND FLOAT <br />EDGER <br />EQUIPMENT <br />RENTAL <br />TRAILER <br />CLEANING <br />CHARGE <br />TOTAL <br />SALES & RENTAL AGREEMENT <br />• If the equipment is not properly cleaned after use, lessee agrees to pay a $50 cleaning charge. <br />• It the equipment is used more than two hours, fee of $25 per hour on weekdays and S35 per hour on weekends, will be <br />charged. <br />• The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use, and in <br />considerallon he agrees to pay the rental charge and sign this agreement. The lessee further agrees not to sell, loan, sublet or <br />mortgage the leased equipment and to return the same in as good condition as when received. <br />• The lessee acknowledges that he has inspected said trailer, trailer hitch and safety chain, and the other items of equipment, <br />and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same <br />agreeing to assume all responsibility for said leased equipment while it is in his custody. <br />• The lessee further agrees to indemnify and saveCalifornia Rock & Ready Mix harmless from any liability, claim or ex- <br />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 <br />proximate result of its being in his custody. In the event of any accident, the lessee agrees to make a written report to <br />California Rock & Ready Mix. <br />• 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- <br />sume all responsibility for fire, theft, confiscation, and all citations and penalties incurred against said trailer while in his <br />possession. <br />We are not responsible for any damage encountered while California Rock & Ready Mix Is delivering <br />materials customer has ordered. Customer will pay all tow charges if our truck or equipment gets stuck <br />while dumping or working in the area the customer requested. <br />SIGNATURE LICENSE <br />X <br />CALIFORNIA ROCK AND READY MIX <br />1200 E TURNER RD <br />LODI CA 95240 <br />209 368-5351 <br />Merchant ID: 0449 <br />lerm 11: 0003 Store It: 9039 <br />R,f u: 0u35 <br />Phone Order <br />9XX=92933 <br />VISA Entry Method; Manual <br />Total: $ 941.78 <br />05/20/21 15.27:38 <br />Inv 4: 000035 Aper Code: 02160D <br />Y Transaction ID: 461263808584537 <br />Apprvd:Online BatchII:000919 <br />CO2 Code: MATCH M <br />Iagree to Pay above total amount <br />according to card issuer agreement <br />(Merchant agreement if credit voucher) <br />Merchdnt Covy <br />MAW YOU <br />PLEASE COME AGAIN <br />