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California Rock & Ready Mix <br />1200 E. Turner Rd.- • Lodi, CA 95240 <br />(209) 368-5351 • Fax (209) 368-5824 139825 <br />i <br />NAMEt% 5 S DATE <br />ADDRESS �1 i)C�U ( �L 12 i "�1 PHONE <br />I IMt AM ❑ <br />OUT ( . 3G PM ❑ <br />TIME AM ❑ <br />IIN PM ❑ <br />-RUCK NO. <br />TRAILER NO. <br />QTY. <br />DESCRIPTION <br />PRICE <br />AMOUNT <br />� I <br />EQUIPMENT RENTED PRICEDAY <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 qet prompt medical <br />attention. KEEP OUT OF REACH <br />OF CHILDREN. <br />HAND TROWEL <br />HAND FLOAT <br />EDGER <br />TRAILER <br />SALES & RENTAL AGR <br />• If the equipment is not properly cleaned after use, lessee agrees to pay a S <br />• If the equipment is used more than two hours, fee of S25 per hour on v <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 i <br />mortgage the leased equipment and to return the same in as good condition <br />• The lessee acknowledges tha'.he has inspected said trailer, trailer hitch a <br />and that he has found the trailer and hook-up safe and secure and the o <br />agreeing to assume all responsibility for said leased equipment while it is in <br />• The lessee further agrees to indemnify and saveCalifornia Rock & R <br />pense arising from any injury or damage to his person or property that may <br />proximate result of its being in his custody. In the event of any accident. <br />California Rock & Ready Mix. <br />• The lessee agrees to comply with all laws of the State covering the use c <br />sume all responsibility for fire, theft, confiscation, and all citations and I <br />Possession, <br />We are not responsible for any damage encountered while Ca <br />materials customer has ordered. Customer will pay all tow ch <br />while dumping or working in the area the customer requested. <br />SJ <br />N TURE <br />X <br />Merchant Copy <br />THANK YOU <br />PLEASE COME AGAIN <br />