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California Rock & Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 136597 <br /> �C?c( (209) 368-5351 • Fax (209) 368-5824 <br /> t <br /> NAME t ISG� � DATE-719 <br /> ✓ <br /> ADDRESS `l L� `-G/` t L r f PHONE 111;;�� �G <br /> JOB SITE Lc v�tV�� <br /> TIME AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT 2 ' 3C' PM ❑ IN PM ❑ <br /> CITY. DESCRIPTION PRICE AMOUNT <br /> 7 G, <br /> v r� <br /> I <br /> 1 <br /> � I <br /> 6� 0 <br /> EQUIPMENT RENTED P <br /> CAUTION HAND TROWEL <br /> Freshly mixed cement, mortar, HAND FLOAT <br /> concrete orgrout may cause skin EDGER <br /> injury. 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 and c�et prompt medical <br /> attention. KEEP OUT OF REACH <br /> OF CHILDREN. <br /> SALES & RENTAL AGP <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a I <br /> •If the equipment is used more than two hours,fee of S25 per hour on <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. <br /> mortgage the leased equipment and to return the same in as good conditior <br /> •The lessee ackno,^edges that he has inspected said trailer,trailer hitch ar accorainy <br /> and that he has found the trailer and hook-up safe and secure and the otl (Merchant agreement if credit voucher) <br /> agreeing to assume all responsibility for said leased equipment while it is in h <br /> •The lessee further agrees to indemnify and save California Rock&Re <br /> pense arising from any injury or damage to his person or property that may o <br /> proximate result of its being in his custody.In the event of any accident,n <br /> California Rock&Ready Mix. /I"___""__________________________ <br /> •The lessee agrees to comply with all laws of the State covering the use of """"""""" <br /> surae all responsibility for fire, theft, confiscation, and all citations and p <br /> possession. Merchant Copy <br /> We are not responsible for any damage encountered while Cali <br /> materials customer has ordered.Customer will pay all tow cha IIIANk YOU <br /> while dumping or working in the area the customer requested. PLEASE COME AGAIN <br /> SIGNATURE <br /> X <br />