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California Rock & Ready Mix <br />1200 L. Turner Rd. • Lodi, CA 95240 123026 <br />(209) 368-5351 • Fax (209) 368-5824 <br />�,P��: l t <br />NAME �� t �✓ DATE C <br />ADDRESS ly J UJ PHONE \J l /Y6 <br />I r1R CITE <br />TIME ` AM ❑ <br />OUT I ' �� PM ❑ <br />TIME AN <br />JIN PN <br />QTY. <br />DESCRIPTION <br />�Lvr r� <br />CAUTION <br />Freshly mixed cement, mortar: <br />concrete 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. KEEF OUT OF REACH <br />OF CHILDREN. <br />EQUIPMENT RENTED PF <br />HAND TROWEL <br />HAND FLOAT <br />EDGER <br />TRAILER <br />SALES & RENTAL AGRE <br />- If the equipment is not properly cleaned after use, lessee agrees to pay a $50 <br />• If the equipment is used more than two hours, fee of $25 per hour on war <br />charged. <br />• The lessee acknowledges that the above equipment has been delivered to <br />consideration he agrees to pay the rental charge and sign this agreement. The <br />mortgage the leased equipment and to return the same in as good condition as <br />- The lessee acknowledges that he has inspected said trailer, trailer hitch and <br />and that he has found the trailer and nook -up safe and secure and the othe <br />agreeing to assume all responsibility for said leased equipment while it is in his <br />• The lessee funher agrees to Indemnify and save California Rock & Rea <br />pense arising from anv injury or damage to his person or property that may occ <br />proximate result of its being in his custody. In the event of any accident, the <br />California Rock & Ready Mix. <br />• The lessee agrees to comply with all laws of the State covering the use of Ir <br />sume all responsibility for lire, theft, confiscation, and all citations and per <br />possession. <br />We are not responsible for any damage encountered while Calif; <br />materials customer has ordered. Customer will pay all tow char( <br />while dumping or working in the area the customer requested. <br />SIGNATU E <br />X <br />r1 I TRUCK NO. I TRAILER NO. <br />CALIFORNIA ROCK AND READY MIX <br />1200 E TURNER RD <br />LODI CA 95240 <br />209 366-5351 <br />Merchant ID: 0449 <br />Tenn If: 0003 Store II: 4039 <br />Ref 4: 0001 <br />Phone Order <br />XXXXXXXXXXXX5504 <br />VISA Entry Method: N aal <br />Total: $ 1,250.29 <br />09/28/20 <br />Inv a: 000001 Apar Code: 03448D <br />Transaction ID: 580272516744744 <br />APprvd, Online 8atcho: 000547 <br />CVV2 Code: MATCH N <br />I agree to Pay above total amount <br />according to card issuer agreement <br />(Merchant agreement if credit voucher) <br />Merchant Copy <br />THANK YOU <br />PLEASE COME AGAIN <br />