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ATING TO THE SKIN AND EYES WEIGHMASTER CERTIFICATE CONTROL NUMBER ams contend Cement.Wes,Rubber Boots and Gloves dS IS TO CERTIFY that the following described commodity was d.measured (Q C .a JLONGED CONTACT MAY CAUSE BURNS. c ounted by a weighmaster,whose signature is on this certificate,wh11Rr1�a recognized L J 1 3 L old Contact With Eyyes eM Prolongetl Contact With Skin. of accuracy,es prescribed by Chapter 7(commencing with Section 12700)of lr Case of Contact Wflh Skin or Eyes,Flush Thoroughly With ion 5 of the California Business and Professions Coati administered by the Division Water.It Irrkation Persists,Get Medical Attention. easurement Standards of the California Department of Food and Agriculture TICKET NUMBER NOTICE:Cement,fine antl coarse aggregate contains chemicals known 10 fine StMe,pf CaGtomta to can or other rep cti n I 1. II�j �-;,F_ f biltpld tKfsl t Tha.4:pmpany shall have no liability for and hereby excludes warranties or merchantability and '1 NOPE:An Itis for any purpose, and all other warranties express or Implleq with respect to reactive KEEP OUT OF REACH OF CNfLDREN. Bggregate,and popping(Pop-Outs),checking,discoloring of surface cracking of concrete. LOADING I LEAVE PI ANT I ARRIVE JOB START UNL FINISH_UNL LEAVE JOB ARRIVE PLANT OVERTIME WATER ADDED 0 DRIVER:I have verified the specific slump for this job to be: I veri that this load will meet the slum s on the lob X Please Initial REASON FOR DELAY TIME IMPORTANT CUSTOMER:READ BEFORE SIGNING,WILL AFFECT YOUR RIGHTS,SIGNATURE BELOW CONSTfEUTES ACCEPTANCE OF ALL TERMS,CONDITIONS&WAIVERS PRIMED ON FROM&BACK OF THIS FORM. ❑ JOBSITE DELAY ❑ 75%OF LOAD ALL INVOICES SHALL BE PAID IN FULL ON OR BEFORE THE LAST DAY OF THE MONTH FOLLOWING THE DATE OF DELIVERY.CUSTOMER AGREES TO PAY A SERVICE CHARGE 1 1/2%PER MONTH ON ALL INVOICES WHICH ARE PAST ❑ PLACEMENT ❑ 50%OF LOAD DUE. IN ADDITION, CUSTOMER AGREES TO PAY ALL COSTS AND EXPENSES FOR . COLLECTION OF ANY AMOUNTS H E N R ❑ EARLY AggIVAL ❑ 25%OF LOADi RED 82'12 bERhly {-I l!iNUE ❑ EQUIPMENT FAILURE ❑ WAS WATER ADDED SACRAMENTO, I-A 9511 AFTER BEING ON JOB ❑ 100%OF LOAD FOR 30 MIN OR MORE TIME: SOLD TO CUSTOMERRO # COD DATE SPk.CTRIJN EXPL.ORFaT)LaN TIAL. (;i. LARE:ND(a ;'iQi(hLPROJECT# ayECKZONE TIME DUEDEL NQNI-E CAN PLAN)' sTKill ;LPtz. ORDER# POCKET# F1L.BL::Rr h NINCIR14 47 MIX SACK LOAD SIZE LOAD u USE PLANT 'MUCK All MVFA 3210300 `3. 50 3 GENERAL 2 218 KEN DRAPER NEIGHMASTER -- il TI-.f Sl: U A AG x ill-.PIJ i Y:a WE I l lk:ai 01 : 4&$5 i_ '"h if i i OSA 5 T f)CK 1 l)N, i:4i l 1 '0," LOAD QUANTITY CUMULATIVE QTY. ORDERED CITY. PRODUCT CODE PRODUCT DESCRIPTION UNIT PRICE AMOUNT 3C' (!{,00 10. . :,I ri IJFtRY 1. GOLD 3. 011} A . tdtLl 926 F. NV 1 PONMENT FEE MIX INGREDIENT WEIGHTS MIN.LOAD CHG. TAX SUB TOTAL '�- OVERTIME TOTAL D LI E NATER ADDED AT PLANT %MOISTUflE FM. T.A. SLUMP Returned checks may subject maker,in addition to the amount •--�• LnQI /`:' ., i, '1 '1' til owing,treble Me amount owing,up to a maximum of$1500.00 (Civil Code Sect.1719). A returned check charge W$20.00 will iECEiVED BY The`blm3 on ate revwse yids d Ois Deirtwry tldwt aril ar�y atlechrsme herele am a part ar the a9rearwnt baMSQn a charged plus an additional 535.00 for any mechanics lien. Cenpany and r.Acceptance of the order consausis agreement to,mms antl dxxkas shorn on the lse antl bade READ FRONT AND REVERSE SIDES CAREFULLY. MINUESOFMADINGnME The above sow is over DO age of eighteen(18)years and has authority to execute this Agreement on behalf of Customer. isevAIS]e W LRdLnEiE mEE cerxeaGE PllnIMIN4L WNlIPIMNG iIMECINM*D Ai CI&RFM 1xMlli'y1gtN:,(aiiE