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P & L CONCRETE PRODUCTS INC. 7 <br /> 1900 ROOSEVELT AVE. * ESCALON, CA 95320 - 1763 <br /> WEIGHTMASTER CERTIFICATE (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 DELIVERY TAG I INVOICE <br /> THIS IS TO CERTIFY that the following described P & L CONCRETE PRODUCTS INC. <br /> commodity was weighed, measured, or counted by a Invoice No.: 175720 <br /> weighmaster whose signature is in this certificate,who is WEIGHMASTERCLE3324 <br /> a recognized authority of accuracy, as prescribed by Cust NO.: <br /> chapter 7(commencing with Section 12700)of Division 5 Inv. Date : 10/20/16 <br /> of the California Business and Professions code. <br /> Administered by the Division of Measurement Standards BY: Guillermo Murillo Page No.: 1 <br /> of the California Department of Food and Agriculture. <br /> DEPUTY <br /> SOLD TO: DESTINATION: <br /> CLEARWATER DRILLING ST JOHN &CATHERINE <br /> TOBY VON ALVENSLEBEN S/W CORNER <br /> 2308 YOSEMITE AVE ESCALON WEIGHEDAT: <br /> ESCALON, CA 95320 1900 ROOSEVELT AVE. <br /> 209 603-3324 ESCALON,CA 95320 <br /> READY MIX CONCRETE 'Customer agrees to return trailer in two hours from time out or VEHICLE LICENSE OR <br /> pay$1.25 for each additional minute over two hours. EQUIPMENT NUMBER <br /> *Customer acknowledges he has liability insurance on vehicle to <br /> LEAVE be used in tow trailer. <br /> YARDS PLANT 'Customer agrees to retur tt Her Clea _rEe•o oncrete. If TRUCK NO: <br /> NUMBER ARRIVE trailer is not pro aped after use,cGstomer agrees to pay an <br /> OF LOADS ON JOB additionaLeWaning charge. TRAILER: <br /> OTAL YARDS START 'Customer further agrees to assume all responsibility for damage <br /> ON JOB POUR to trailer,or damage resulting from trailer,including attorney fees, C.D.L.# <br /> MIX DESIGN Z END for said trailer while it is in his custody. Customer also agrees to <br /> NUMBER ��'/ POUR obey all Califomia State Traffic Laws and is responsible for any wh <br /> WATER ADD ARRIVE citations receivetl 'ie r c'ng the trail�r�_._ VEH.LIC.# <br /> 'No trailers out overnight. INITIALS <br /> N JOB PLANT F]PICKED.UP' - VERED <br /> Ship Date PO# Due Date Driver <br /> 10/20/16 SLURRY/SEXTON C.O.D. <br /> Qty Shipped Item Number Description Unit Price Amount <br /> 3.000 YD SAND00103 SAND SLURRY 10.3 141.5000 424.50 <br /> 10.3 SK SAND SLURRY <br /> 1.000 EA SHORT SHORT LOAD (CONCRETE) 50.0000 50.00 <br /> r <br /> f <br /> Subtotal 474.50 <br /> Misc. Charge 0.00 <br /> P & L CONCRETE PRODUCTS, INC.ASSUMES NO RESPONSIBILITY FOR Freight Charge 0.00 <br /> DAMAGE INCURRED IN DELIVERING MATERIALS INSIDE THE CURB LINE. Discount 0.00 <br /> Sales Tax 33.96 <br /> 1 hereby acknowledge the satisfactory completion of the above described work. Total 508.46 <br /> RPayments 0.00 <br /> RECEIVED BY: <br /> Deposits 0.00 <br /> ❑No one on job site Net Balance Due $ 508.46 <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br /> TERMS: All invoices are due and payable by the 10th of the following month. <br /> After due date 2% per month (24% per year) Finance Charge on past due accounts. <br />