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I.' <br />California dock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 140185 <br />�I (209) 368-5351 • Fax (209) 368-5824 <br />i l7 <br />NAME ZLt /'c' DATE /7- <br />ADDRESS `� U , PHONE (c) <br />.IOR SITF� C^ t <br />TIME �7 AM ❑ <br />OUT PM ❑ <br />TIME AM ❑ <br />IN PM ❑ <br />1 TRUCK NO. <br />TRAILER NO, <br />QTY. <br />DESCRIPTION <br />PRICE <br />AMOUNT <br />7 <br />l <br />Y� <br />r <br />i� <br />i Jam, - <br />EQUIPMENT RENTED PRICE)DAY <br />_ <br />CAUTION I HAND TROWEL <br />Freshly mixed, cement, mortar, HAND FLOAT <br />concrete or grout 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 qet prompt medical <br />attention. KEEP OUT OF REACH <br />OF CHILDREN. <br />SALES & RENTAL AGREE <br />• If the equirment is not properly cleaned after use, lessee agrees to pay a $50 clr <br />• If the equipment is used more than two hours, fee of $25 par hour on weekd <br />charged. <br />• The lessee acknowledges that the above equipment has been delivered to his <br />consideration he agrees to pay the rental charge and sign this agreement. The le <br />mortgagethe leased equipment and to return the same in as good condition as wl <br />• The lessee acknowledges that he has inspected said trailer, trailer hitch and sate <br />and that he as found the trailer and hook-up safe and secure and the other eq <br />agreeing to assume all responsibility for said leased equipment while it is in his cust <br />• The lessee further agrees to icv:emnify and save California Rock & Ready N <br />pense arising from any injury or damage to his person or property that may occur w! <br />proximate result of its being in his custody. In the event of any accident, the less <br />California Rock & Ready Mix. <br />• The lessee agrees to comply with all laws of the State covering the use of trailers <br />sume all responsibility for fire, theft, confiscation, and all citations and penalties <br />possession. <br />We are not responsible for any damage encountered while California <br />materials customer has ordered. Customer will pay all tow charges it <br />while dumping or working in the area the customer requested. <br />IGNATURE <br />X <br />11 <br />according to card i55uer agreement <br />(Merchant agreement if credit voucher) <br />Merchs,t Copy <br />TNANK YOU <br />PLEASE COME AGAIN <br />