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California Rock & Ready Mix <br /> ��� 1290 E. Turner Rd. • <br /> Lodi, CA 95240 146710 <br /> (209) 368-5351 Fax (209) 368-5824 <br /> NAME DATE <br /> Y ^ <br /> ADDRESS PHONE <br /> JOB SITE <br /> TIME , 7 AM ❑ TIME AM 01 TRUCK NO. TRAILER NO. <br /> OUT U lJ PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> T ? Q_(_ii,( <br /> EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br /> CAUTION HAND TROWEL <br /> Freshly mixed cement, mortar, HAND FLOAT SALES TAX <br /> concrete or grout may cause skin EDGER EQUIPMENT <br /> in1ury. Avoid contact with skin <br /> where possible and wash exposed TRAILER RENTAL <br /> skin areas promptly with water. If CLEANING <br /> any cement mixtures get Into eyes, CHARGE <br /> rinse Immediately and repeatedly <br /> with water and et prompt medical <br /> attention. KEW OUT OF REACH <br /> OF CHILDREN. <br /> TOTAL <br /> SALES & RENTAL AGREEMENT <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a S50 cleaning charge. <br /> •If the equipment is used more than two hours,fee of S25 per hour on weekdays and$35 per hour on weekends,will be <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use,and in <br /> consideration he agrees to pay the rental charge and sign this agreement.The lessee further agrees not to sell,loan,sublet or <br /> 9 mortgage the leased equipment and to return the same in 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 Iounc'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&Ready Mix harmless from any liability,claim or ex- <br /> pense arising from any injury or damage to his person or property that may occur while said equipment is in his custody or as a <br /> proximate result of its being in his custody.In the event of any accident,the lessee agrees to make a written report to <br /> California Rock&Ready Mix. <br /> •The lessee agrees to comply with all laws of the State 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. <br /> GNATURE LICENSE <br /> X <br />