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California Rock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 <br />j jt �Q (209) 368-5351 • Fax (209) 368-5824 <br />w NAME[ U '( DATE <br />137385 <br />y` <br />ADDRESS Sezl- �P✓(t {'l v� PHONE v `� <br />f/0' <br />JUB SI I t <br />TIME AM ❑ TIME AM TRUCK NO. <br />OUT 3(, PM ❑ IN PM ❑ <br />QTY. DESCRIPTION PRICE <br />TRAILER NO. <br />AMOUNT <br />HAND FLOAT <br />3 Sic <br />TRAILER <br />r 7�, <br />EQUIPMENT RENTED PRICE'DAY OTAL <br />CAUTION <br />Freshly mixed cement, mortar, <br />concrete or grout may cause skin <br />in 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 et prompt medical <br />attention. KEE� OUT OF REACH <br />OF CHILDREN. <br />HAND TROWEL <br />HAND FLOAT <br />EDGER <br />TRAILER <br />SALES & RENTAL AGI <br />• If the Fquipment is not properly cleaned after use, lessee agrees to pay a <br />• II the equipment is used more than two hours, fee of S25 per hour on <br />charged. <br />•: The lessee acknow';,:dges that the above equipment has keen delivere <br />consideration he agrees to pay the rental charge and -Agn this agreement <br />mortgage the leased equipment and to return the same in as good conditil <br />• The lessee acknowledges that he has inspected said trailer, trailer hitct <br />and that he has found the trailer and hook-up safe and secure and lh, <br />agreeing to assume all responsibility for said leased equipment while it is <br />• The lessee further agrees to indemnify and saveCalifornia Rock & <br />pense arising from any injury or damage to his person or property that m <br />proximate result of its being in his custody. In the event of any accide <br />California Rock & Ready Mix. <br />- The lessee agrees to comply with all laws of the State covering the u[ <br />sume all responsibility for fire, theft, confiscation, and all citations a <br />possession. <br />We are not responsible for any damage encountered while <br />materials customer has ordered. Customer will pay all tow <br />while dumping or working in the area the customer request, <br />GN TUBE <br />X <br />I agree to Pay above total amount <br />according to card issuer agreement <br />(Merchant agreement if credit voucher) <br />Merchant Copy <br />[HANK YOU <br />PLEASE COME AGAIN <br />