WP0037477 - Laserfiche WebLink

Home Browse Search

INVOICE `r WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of r 41204177 accuracy,as prescribed by Chapter 7(commencing with Section Di 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards _ _ of the California Department of Food and Agriculture. Y Excess water is detrimental to concrete quality.Increased water in concrete mix reduces strength and durability and increases shrinkage. NOTE: Buyer accepts responsibility for water added on job site,which exceeds accepted water/cement ratio and workability specifications. Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Total Amount for This Ticket Not Including Standby Charges: Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Check Without Standby Charges: Charge Customer Code: Customer Name: Customer Job Number: Order Code/Date: Project Code: Project Name: Deputy Weighmaster: Order P.O.Number: Ticket Date: Delivery Address: Map Page: Delivery Instructions: Ticket Number: Due On Job: Slump: Load: Truck Number: Driver Number: Driver Name: End Use: LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY Water Added Curb Line Crossed At Owner'sO SUB TOTAL IN GALLONS: Agent's Request: AUTHORIZED SIGNATURE TAX O Print Name: Date o X X Signature above signifies receipt and acceptance of the listed materials and acknowledge- TOTAL INITIALS INITIALS ment of and agreement to the CEMEX terms and conditions. BATCH DATA: 41204177 20 /) °j 77 Us-: Moisture ktual stat Tot.Wat Trio Actual 372.3 gl 80UNIVERSAL Rev 4/12