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ti <br />California Rock & Ready Mix <br />1200 F. Turner Rd. • Lodi, CA 95240 144207 <br />�Joe`( (209),368-5351 • Fax (209) 368-5824 <br />NAME �(�C f `Z i= �� t) `" <br />DATE Z <br />ADDRESS PHONE <br />JOB SITE <br />TIME AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO, <br />OUT Z(�Z• )m PM ❑ IN PM ❑ <br />QTY. DESCRIPTION PRICE AMOUNT <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. KEEF OUT OF REACH <br />OF CHILDREN. <br />r" <br />f <br />EQUIPMENT RENTED PR <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 $5( <br />• If the equipment is used more than Ivo hours, fee of $25 per hour on we <br />charged. <br />• The lessee acknowledges that the above equipment has been delivered tc <br />consideration he agrees to pay -:he rental charge and sign this agreement. Th <br />mortgage the leased equipment and to return the same in as good condition a <br />• The lessee acknowledges that -he has inspected said trailer, trailer hitch an <br />and that he has found the trailer and hook-up safe and secure and the off <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, If <br />California Rock & Ready Mix. <br />• The lessee agrees to comply with all laws of the State covering the use of <br />sume all responsibility for fire, theft, confiscation, and all citations and p <br />Possession. <br />We are not responsible for any damage encountered while Cali <br />materials customer has ordered. Customer will pay all tow cha <br />while dumping or working in the area the customer requested. <br />SIGN TURE <br />X <br />nmol n, unlille Satcha. 000212 <br />C42 Code; MR1CH M <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 />