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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following dexdbad commodity wee weighed,measured,or <br /> n <br /> of accuracy. <br /> we reach rer,whn aelgnelure is on this cedillrAle,who isarecognizW authority 91164 <br /> a oleaurecy.uproecrrd by ChapterT lcommencing with Section lDee)o/OHiaion5 of the <br /> Ceti/omia Business end Proleasions Coda edminieterod by the Division Of Msesurement <br /> StarWeNe of the California Deper, <br /> ment of Food and Agriculture. <br /> rr PEARSONS CONCRETE '- <br /> .e1 <br /> CAUTION � 70284 UNDERWOOD RD., ACAMPO, ¢`A 95220 <br /> I` Y TELEPHONE (209) 334-923`4 <br /> Freshly mixed cement, mortar, `� <br /> concrete or grout may cause skin ORDER NO. DATE 200 <br /> injury, Avoid contact with skin where <br /> CUSTOMER <br /> Possible and wash exposed skin <br /> areas promptly with water. It any <br /> cement mixtures get into eyes, rinse <br /> DRIVER TRUCK - LOAD CUYDG <br /> immediately and repeatedly with <br /> water and get prompt medical CONCRETE MIX STARTTIME <br /> attention. CEMENT ARRIVE JOB <br /> ADMIX + <br /> KEEP OUT OF REACH OF CHILDREN. A•' LEAVE JOB <br /> A-2 END TIME <br /> ADMIX a <br /> A-3 TOTAL <br /> Dear Customer: A'4 FREE <br /> WATER NET <br /> `Vt <br /> THISLOAD SACK ,WEIGHEDAT <br /> NOTICE: WE MAKE DELIVERIES INSIDE THE CURB LINE GUARANTEED CUBIC CON- Mlx eat sIMMERHORN <br /> `AT CUSTOMER' ' (RISK ONLY, AND ACCEPT NO To YIELD YARDS CRETE No GALT CA <br /> _ PEARSONS READY MIX CONCRETE INC.—WEIGHMASTER <br /> � RE$PONSIBILITYcYVHATSOEVER FOR DAMAGES ` By - •.�,..—•---- - <br /> RESULTING ROM SUCH DELIVERIES. <br /> QUANTITY UNITS DESCRIPTION UNITPRICE AMOUNT <br /> The tlriver of this trZck in requesting tiiis ackitional signature below,is of the opinion CU YDS CONCRETE <br /> thaf l}a size and weight of the truc <br /> '+ and/dr adjacent roe nh m �Qsslbly,cause damages to the premises - - -- <br /> 1 property rty'rf t8e-driver=places the material in this load"to tou desire <br /> 3 it.It is our wish to help yourn every way that we can,but in order to do this�the driven- <br /> 1 .a g <br /> requesting jhat you�or yoi re rese7r tative sign below indicating x .. D � 9 g you have released <br /> the driver and PEARSONSICONCREE from all responslbilty for any damage that <br /> may occur to the premises&a�d/or'9dja nt-property,buildings,sidewalks,driveways, <br /> -curbs, etc. by tie deliyery'M Ois mat(Rial. Further, as additional consideration, you <br /> agree to help the driver remove mud from the wheels of the drNer'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 MIN. STAND BY TIME <br /> anyone to have arisen out of delivery of this order. HOURS RENTAL <br /> 5 MINUTES PER YARD FREE CHARGE C.O.D. <br /> Signature: UNLOADING TIME ALLOWED TOTAL <br /> ERRORS IN PRICE EXTENSION AND ADDITION SUBJECT TO CORRECTIONS <br /> TERMS: Net DO Days.One and one-half(1 t/zx)percent per month will be charged on past due accounts. <br /> Any reasonable legal lees Incurred in collection of above will be added to this charge. <br /> GERMANYaROTHERS PRINTING — REv9/01 Recelved By: X <br />