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-California Rock & Ready Mix <br /> 1200 E. Turner did. • Lodi; CA 95240 148632 <br /> (209) 368-5351 • Fax (209) 368-5824 <br /> 1 DATE—LLZ L <br /> NAME <br /> L, <br /> ADDRESS <br /> / J l PHONE /L <br /> So <br /> JOB SITE l'04 l( TRUCK NO. TRAILER NO. <br /> TIME , „ J AM❑ TIME AM ❑ <br /> OUT I Z ''L)r 1 PM ❑ IN PM ❑ <br /> . p•ry DESCRIPTIONPRICE AMOUNT <br /> t <br /> �(L -- __ •��-----mss <br /> I.UD1 , CA !I5340 <br /> 209-368-5351 <br /> C1-3001516701 <br /> 11/10/2022 16:96 <br /> Sale <br /> EQUIPMENT RENTED PR / 2� <br /> CAUTION HAND TROWEL #: 1S Balch #. _ 2 <br /> Freshly mixed cement, mortar, HAND FLOAT Trans1 �l l� l J <br /> concrete or grout may cause skin EDGER l'R E U 1 T (.'A R I) <br /> injury. Avoid contact with skin V 1 5 A M A N I!A L <br /> where possible and wash exposed TRAILER ***********3�� 3 <br /> skin areas promptly with water. If <br /> any cement mixtures get Into eyes, <br /> rinse Immediately and repeatedly ( $1^��',�� <br /> with water and get prompt medical BASE AMTL <br /> attention. KEEP OUT OF REACH ��„' ` <br /> OF CHILDREN. (t' <br /> SALES & RENTAL AGRE DISC: $0.00 <br /> •If the equipment is not properly cleaned atter use,lessee agrees to pay a$5( TOTAL AMT: USD $1290.92 <br /> •If the equipment is used more than two hours,fee of$25 per hour on we <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered to Resp:sp• A P P R I I V A L 0 9 69 6 D <br /> consideration he agrees to pay the rental charge and sign this agreement.Th I <br /> mortgage the leased equipment and to return the same in as good condition a ( ode 0 9 6 C)6 D <br /> •The lessee acknowledges that he has inspected said trailer,trailer hitch am Ref #• 232023200095 <br /> and that he has found the trailer and hook-up safe and secure and the ott Trans I D: 382320856168550 <br /> agreeing to assume all responsibility for said leased equipment while it Is in hi <br /> • (�”The lessee further agrees to indemnity and save California Rock&Re <br /> pense arising from any injury or damage to his person or property tha'may of a r d h o l d e r a c k tt o w l e d g e s <br /> proximate result of its being in his custody.In the event of any accident,it <br /> California Rock&Ready Mix. receipt of goods and <br /> •The lessee agrees to comply with all laws of the State covering the use of o b 1 I g a t 1 o n s setfort.h <br /> sume all responsibility for lire,theft,confiscation, and all citations and pt- h y the cardholder's <br /> possession. agreelllerit with 1sSUer. <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 workingin the area the customer requested. <br /> G TU E ------------------ <br /> X_ <br /> MERCHANT COPY <br />