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80768 <br />w, <br />DATE ORDER NO. ,200 __ <br />CUSTOMER <br />CU YDGDRIVER TRUCK .LOAD <br />CONCRETE MIX START TIME <br />ARRIVEJOB <br />LEAVE JOBKEEP OUT OF REACH OF CHILDREN. <br />A-2 END TIME <br />ADMIX 2 <br />A-3 TOTAL <br />FREE <br />Dear Customer <br />WATER NET <br />UNIT PRICEUNITSDESCRIPTION AMOUNT <br />CU YDS CONCRETE <br />MIN.STAND BY TIME <br />RENTAL <br />CHARGE C.O.D.TOTALSignature: <br />X Received By: <br />OFVQZn,nczo.iA.iv DoriTurDC ooiMTikir: <br />THIS LOAD <br />GUARANTEED <br />TO YIELD <br />The driver of this truck, In requesting the additional signature below, Is of the opinion <br />that the size and weight of the truck may possibly cause damages to the premises <br />and/or adjacent property if the driver places the material In this load where you desire <br />it. It is our wish to help you in every way that we can, but in order to do this, the driver <br />is requesting that you or your representative sign below indicating you have released <br />the driver and PEARSONS CONCRETE from all responsibilty for any damage that <br />may occur to the premises and/or adjacent property, buildings, sidewalks, driveways, <br />curbs, etc. by the delivery of this material. Further, as additional consideration, you <br />agree to help the driver remove mud from the wheels of the driver's vehicle so that <br />the driver will not litter the public street, and you agree to indemnify and hold <br />harmless the driver of this truck and PEARSONS CONCRETE for any and all liabilities <br />and damages to the premises and/or adjacent property which may be claimed by <br />anyone to have arisen out of delivery of this order. <br />WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured, or <br />counted by a weighmaster, whose signature Is on this certificate, who is a recognized authority <br />of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement <br />Standards of the California Department of Food and Agriculture. <br />PEARSONS CONCRETE <br />10284 UNDERWOOD RD., ACAMPO, CA 95220 <br />TELEPHONE (209) 334-9234 <br />HOURS <br />5 MINUTES PER YARD FREE <br />UNLOADING TIME ALLOWED___________________________________________________ <br />ERRORS IN PRICE EXTENSION AND ADDITION SUBJECT TO CORRECTIONS <br />TERMS: Net 30 Days. One and one-half (11/2%) percent per month will be charged on past due accounts. <br />Any reasonable legal fees Incurred In collection of above will be added to this charge. <br />BY <br />QUANTITY <br />SACK WEIGHED AT <br />CUBIC CON- MIX 901 SIMMERHORN <br />________YARDS______ CRETE________NO.______________GALT, CA._______ <br />PEARSONS READY MIX CONCRETE INC. - WEIGHMASTER <br />CEMENT <br />ADMIX 1 <br />NOTICE: WE MAKE DELIVERIES INSIDE THE CURB LINE <br />AT CUSTOMER’S RISK ONLY, AND ACCEPT NO <br />RESPONSIBILITY WHATSOEVER FOR DAMAGES <br />RESULTING FROM SUCH DELIVERIES. <br />CAUTION <br />Freshly mixed cement, mortar, <br />concrete or grout may cause skin <br />injury. Avoid contact with skin where <br />possible and wash exposed skin <br />areas promptly with water. If any <br />cement mixtures get into eyes, rinse <br />immediately and repeatedly with <br />water and get prompt medical <br />attention.