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ReVorse For Terms, <br />r. nA t;^.,a -.,R iA�9 MIf1/ IQ <br />-- - - -- - ---- - -� - -- '- <br />TICKET NUMBER <br />WEIGHMASTER CERTIFICATE <br />THIS 15 TO CBUWY that the fol—" daaellhad —a m"tyg '-"had; <br />tnaa�.ad o1 —,*ad by be�y Ja f .4hmat ,, whose dpnaten If en this <br />AMERICAN TRANSIT MIX CO., INC. pt fro.wwlragwhhSc se <br />do,n,iJ <br />.rn.ss a.d Profeabro Cod., adaJNwand I+Y Ua OIMYon of <br />LV. PLANT <br />ARR. JOB <br />hu— Staod.Rh d the CAVOMN Doparmw,a d rood and <br />!LOCATION WHERE WEIGHED <br />(SEE REVERSE FOR PLANT I.D.) <br />START POUR <br />D POUR <br />SOLD TO: <br />SHIP TO: <br />LV. JOB <br />ARR. PLANT <br />CASH FRTUN DRIL_L_IWi <br />B.tHi3 R0 14ACY <br />TRUCK # <br />BATCH TIME <br />COST. # <br />PROJECT* <br />SHIP DATE <br />*PLANT <br />ORDER # <br />CUSTOMERY.O. <br />JOBAOT II. <br />163 <br />973 <br />6--; <br />].'.:! <br />`'t�tli Fa c t_• <';i' ; <br />MIX # <br />CU. YDS. <br />LOAD # <br />QTY. ORD. <br />QTY. SHIP'D <br />SLUMP <br />USE <br />DRIVER <br />3042 <br />9.50 <br />Aca. ! 4o <br />vt'I <br />J <br />)-;-At - -i. E i lic! <br />MIX DESCRIPTION <br />SH SALE <br />UNIT PRIG U/M <br />AMOUNT <br />4 <br />C, L <br />00 <br />DES ION <br />- <br />WATER ADDED A 7 <br />CERTIFICATE OF. COMPLIANCE <br />WE t iiTIFY that the po.tland am.nt �haaic.f .nd M wA adrb<turas eeff44rd a tM nreariJ <br />d..c*bad hatew.sea br..�f auvd and eemply wih .Pcadesn le.: <br />SUB-T(��L <br />�7. <br />LiJJ. ��� <br />CEMENT BRAND: TYPE: JL MILL LOCATION: — <br />SALES TAX <br />i:14. 13 <br />PLANT GALS., <br />TOTAL <br />CHEMICAL ADMIX: BRAND: TYPE: <br />JOB SITE: .. GALS: <br />MANUFACTURER: <br />STANIZBY 71ME <br />CYLINDERS TAKEN: I <br />MINERALAO NUFA=wl. <br />TOTAL <br />REMARKS:. <br />PICK UP l7i4E!-X CIR F.AR-H BEFORE UNt 011?) sNG <br />SCI. EIFFORE: 580 Bt' I t5 516N ON (01z I. r?VJD 111141! t,'0 <br />AMERICAN TRANSIT MIX co., INC. =WFIGHCUSTOMER'S <br />SIGNATURE: <br />BY_ 43UV cif N7TIGFB <br />RECD BY X <br />'fORM 417"NWM (fl" - CUSTOMER COPY c a <br />