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California Rock & .,Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 <br /> �JQS (209) 368-5351 Fax (209) 368-5824 159325 <br /> NAME (�l � �: ' S/ DATE 1 <br /> ADDRESS � J 16 , <br /> HONE <br /> JOB SITE t( N✓T- (` <br /> TIME AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> 3 l c�< Z <br /> !r <br /> j <br /> \ EQUIPMENT RENTED I �— <br /> CAUTION HAND TROWEL <br /> es ly mixed cement, mortar, HAND FLOAT <br /> concrete orgrout may cause skin <br /> injury. Avoid contact with skin EDGER <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 andet prompt medical <br /> attention. KEEFOUT OF REACH <br /> OF CHILDREN. <br /> SALES & RENTAL AGR Non-Cash AdiLkStMent <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a S $35. 18 <br /> •If the equipment is used more than two hours,fee of$25 per hour on v TOTAL AMT:charged. USD $1117.68 <br /> •The lessee acknowledges that the above equipment has been delivered !, <br /> consideration he agrees to pay the rental charge and sign this agreement.l Resp: A PPROU A L 0175 7 D <br /> mortgage the leased equipment and to return the same in as good condition Code: 01757D <br /> •The lessee acknowledges that he has Inspected said trailer,trailer hitch a Ref #: 333818006606 <br /> and that he has found the trailer and hook-up sa`'i and secure and the c Trans I D: 383338672586972 <br /> agreeing to assume all responsibility for said leased enuipment while it is in <br /> •The lessee further agrees to indemnify and saveCafifornia 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, Cardholder acknowledges <br /> California Rock&Ready Mix. recel t of goods and <br /> •The lessee agrees to comply with all laws of the State covering the use c LL <br /> sume all responsibility for fire, theft, confiscation, and all citations and 1 o n l 1 a f 1 o n s set forth <br /> possession. by �he Cardholder' s <br /> We are not responsible for any damage encountered while Ca agreement with issuer. <br /> materials customer has ordered.Customer will pay all tow ch <br /> while dumping or working in the area the customer requested. <br /> GN TURE <br /> XX-------------------- <br /> MERCHANT COPY <br />