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California Rock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 140446 <br />(2 99) 368-5351 Fax (209) 368-5824 <br />NAME l' DATE ` 1 <br />/ <br />ADDRESS I��% ! !I Q r�PHONE <br />f <br />TIME, <br />OUT <br />AM ❑ <br />PM ❑ <br />TIME AM ❑ <br />JIN PM ❑ <br />TRUCK NO. <br />TRAILER NO. <br />QTY. <br />DESCRIPTION <br />PRICE <br />AMOUNT <br />`7 / <br />13 S C� <br />. <br />n <br />/t <br />CAUTION <br />Freshly mixed cement, mortar, <br />concrete or grout may cause skin <br />injury. Avoid contact with ;kin <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. KEEP OUT OF REACH <br />OF CHILDREN. <br />EQUIPMENT RENTED P <br />HAND TROWEL <br />HAND FLOAT <br />EDGER <br />TRAILER <br />SALES & RENTAL AGRE <br />• It 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 wef <br />charged. <br />• The lessee acknowledges that the above equipment has been delivered to <br />consideration he agr-es 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 tive trailer and hook-up sMe and secure and the oche <br />agreeing to assume all responsibility for said leased equipment while it is in his <br />• The lessee further agrees to indemnify and save California Rock & Reau <br />pense arising from any 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 trt <br />sume all responsibility for fire, theft, confiscation, and all citations and pen <br />possession. <br />We are not responsible for any damage encountered while Califc <br />materials customer has ordered. Customer will pay all tow charg <br />while dumpir•g or working in the area the customer requested. <br />SIGNATURE <br />X <br />I agree to aay above total amount <br />according to card issuer agreement <br />(Merchant agreement if credit voucher) <br />Merchent copy <br />THANK YOU <br />PLEASE COME AGAIN <br />