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California Rock & Ready Mix 1200 E. Turner Rd. - Lodi,CA 95240 157336 ,��(209) 368-5351 - Fax (209) 368-5824 ,10 NAME j`� S DATE ADDRESS Z(3 qqP kCk"V\ `' G PHONE -C/ California Rock & Ready Mix JOB SITE CttI2 JWl 5 1200 E Turner Rd TIME 1 JJ AM ❑ 1 TIME AM ❑ TRUCK NO. TRAILER NO. Lodi CA 95240 OUT �•�''l� PM ❑ IN PM ❑ (209� 368-5351 QTY. DESCRIPTION PRICE AMOUNT 09/27/2023 12:45 Sale r Trans #: 10 Batch #: 120 -� CREDIT CARD MANUAL VISA ,,5649 / BASE AMT: $1428.90 Mon-Cash AdJustment46,44 i' TOTAL AMT: USD $1475.34 EQUIPMENT RENTED PRICE DAY SUBTOTAL 7�- <o HAND TROWEL Resp: APPROVAL 04713D CAUTION SALES TAX �{� Code: 04713D `� reshly mixed cement, mortar, HAND FLOAT Ref #: 327019170114 concrete or grout may cause skin EDGER EQUIPMENT TransID: 463270713036939 wury. Avoid contact with skin ere possible and wash exposed TRAILER RENTAL skin areas promptly with water. If CLEANING any cement mixtures get Into eyes, CHARGE Cardholder acknowledges rinse immediately and repeatedly reCei t of goods and with water and get prompt medical S'L,L �(P obi iyatiors set forth attention. KEEF OUT OF REACH by t.Ite cardholder s OF CHILDREN. TOTAL 3Y agreement with issuer. SALES & RENTAL AGREEMENT •If the equipment is not properly cleaned after use,lessee agrees to pay a$50 cleaning charge. •If the equipment is used more than two hours,fee of$25 per hour on weekdays and$35 per hour on weekends,will be x-------------------- charged. •The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use,and in MERCHANT COPY consideration he agrees to pay the rental charge and sign this agreement.The lessee further agrees not to sell,loan,sublet or mortgage the leased equipment and to return the same in as good condition as when received. •The lessee acknowledges that he has inspected said trailer.trailer hitch and safety chain,and the other items of equipment, and Ihat he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same agreeing to assume all responsibility for said leased equipment while it is in his custody. •The lessee further agrees to indemnity and saveCalifornia Rock&Ready-Mix harmless from any liability,claim or ex- 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 proximate result of its being in his custody.In the event of any accident,the lessee agrees to make a written report to California Rock&Ready Mix. •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- sume all responsibility for fire, theft,confiscation, and all citations and penalties incurred against said trailer while in his possession. � We are not responsible for any damage encountered while California Rock&Ready Mix is delivering materials customer has ordered. Customer will pay all tow charges if our truck or equipment gets stuck while dumping or working In the area the customer requested. SIGNATURE LICENSE X