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California !Rock & Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 140160 <br /> (209) 368-5351 • Fax (209) 368-5824 } 7 <br /> DATE ✓ I U L Z <br /> NAME <br /> ADDRESS � I �\��\ ( \M�\(`p PHONE Z U I �S f <br /> JOB SITE AM ❑ TRUCK ER O. <br /> NO. TRAIL <br /> TIME AM ❑ TIME <br /> OUT (3L PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> L, tv <br /> c c°� c(Y-C <br /> EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br /> CAUTION HAND TROWEL SALES TAX <br /> Freshly mixed cement, mortar, HAND FLOAT EQUIPMENT <br /> concrete or rout may cause skin EDGER RENTAL <br /> injury. Avoid contact with skin <br /> where possible and wash exposed TRAILER CLEANING <br /> skin areas promptly with water. If CHARGE <br /> any cement mixtures get into eyes, <br /> rinse immediately and repeatedly <br /> with water and et prompt medical <br /> OF CHILDREN OUT OF REACH TOTAL <br /> SALES & RENTAL AGREEMENT <br /> •It the equipment is not properly cleaned after use,lessee agrees to pay a$50 cleaning charge. <br /> •It the equipment is used more than two hours,fee 0$25 per hour on weekdays and S35 per hour on weekends,will be <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered to his custody and control to:his awn use,and in.The lessee further agrees not to sell,loan,sublet or <br /> consideration he agrees to pay the rental charge and sign this agreement <br /> mortgage the leased equipment and to return the same n as good condition as when received. <br /> .•The lessee acknowledges that he has inspected said trailer,trailer hitch and safety chain,and the other items of equipment <br /> and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same <br /> agreeing to assume all responsibility for said leased equipment while it is in his custody. <br /> •The lessee further agrees to indemnify and save California Rock& occur while said eq Ready Mix harmless from any liability,claim ors a <br /> pense arising from any injury or damage to his person or property that may uipment is in his custody or as a <br /> to make a written report to <br /> proximate result of its being in his custody.In the event of any accident,the lessee agrees <br /> California Rock&Ready Mix. <br /> •The lessee agrees to comply with all laws of the Slate covering the use of trailers,to travel within the speed limit,and to as- <br /> sume all responsibility for fire, theft,confiscation, and all citations and penalties incurred against said trailer while in his <br /> possession. <br /> We are not responsible for any damage encountered while California Rock Ready Mix is delivering <br /> materials customer has ordered.Customer will pay all tow charges if our truck or equipment gets stuck <br /> while dumping or working in the area the customer requested. LICENSE <br /> N TURE <br /> X <br />