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JIM BRISCO ENTERPRISES, INC <br /> Mailing Phone: (209) 356-3275 Weighed at: <br /> Address: 221 Air Park Road, Suite A Dispatch: (209)761-2280 14960 Vinewood Ave. <br /> Atwater, CA 95301 Livingston, CA 95334 <br /> SOLD TO: SHIP TO: <br /> LOAD t TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT O.T. MINUTES <br /> DATE PLANT# CUSTOMER# TRUCK# TYPE MATERIAL TICKET# <br /> l 1101144 <br /> MIX#-NAME/LOAD#-ACCUMULATED TOTALS YARDS WEIGHMASTER <br /> WATER ADDED: WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured, <br /> or counted by a weighmaster,whose signature is on this certificate,who is a recognized <br /> authority of accuracy,as prescribed by Chapter 7 (commencing with Section 12700)of <br /> Division 5 of the California Business and Professions Code,administered by the Division <br /> of Measurement Standards of the California Department of Food and Agriculture. <br /> PRODUCT DESCRIPTION UNITS <br /> CEMENT 1Jtu ,v 1�� Yd3 <br /> 5 MINUTES 1 1 <br /> PER YARD x 4 RK <br /> FREE UNLOADING <br /> TIME ALLOWED. PEA RK <br /> Additional unloading SAND liwq U <br /> time charge at current <br /> hourly truck rate of WATER r) O.T. Minutes Q $ /min = $ <br /> $100.00 per hour. <br /> ADD MIX SUBTOTAL <br /> ADD MIX SALES TAX <br /> INSPECTOR'S <br /> SIGNATURE ORDER TOTAL <br /> DRIVER e RECVD. BY - ` <br /> ALL WEIGHTS ARE IN POUNDS UNLESS OTHERWISE SPECIFIED <br /> All claims for shortage or allowances must be made in writing within five days from date of delivery. TERMS:All purchases not paid by the last day of the month following date of purchase <br /> WE MAKE DELIVERIES INSIDE CURB LINE AND ON THE LOT AT CUSTOMER'S RISK ONLY AND AC- shall incur a minimum of$2.00 service charge per month or 1'/z%per month finance charge, <br /> CEPT NO RESPONSIBILITY WHATSOEVER FOR DAMAGE RESULTING FROM SUCH DELIVERIES. whichever is greater. 1'/2%per month is equivalent to an annual percentage rate of 18%. <br /> KEEP THIS DELIVERY TICKET FOR FUTURE REFERENCE Buyer will pay reasonable costs of collection and attorneys fees. <br /> BY: <br /> �u <br />