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California Rock & Ready Mix <br />1200 [.Turner Rd. • Lodi, CA 95240 <br />(209) 368-5351 • Fax (209) 368-5824 113233 <br />NAME <br />\ ...L14r/ veo p 2 DATE <br /> <br />ADDRESS E- Yet A Ci g4 let:-.40NE <br /> <br />TIME AM 0 <br />OUT PM 0 <br />TIME Am 0 <br />IN PM 0 <br />TRUCK NO. TRAILER NO. <br />QTY. DESCRIPTION PRICE AMOUNT <br />tf.) y,-/ /d, -i 51i,eleke-7 <br />CAUTION <br />Freshly mixed cement, mortar, <br />concrete or grout may cause skin <br />injury. Avoid contact with skin <br />where possible and wash exposedTRAILER <br />skin areas promptly with water. If <br />any cement mixtures get into eyes, <br />rinse immediately and repeatedly <br />with water and _get promqt medical <br />attention. KEEP OUT OF REACH <br />OF CHILDREN. <br />EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br />HAND TROWEL <br />HAND FLOAT SALES TAX <br />EDGER EQUIPMENT <br />RENTAL <br />CLEANING <br />CHARGE <br />TOTAL <br />SALES & RENTAL AGREEMENT <br />If the equipment is not properly cleaned after use, lessee agrees to pay a $50 cleaning charge. <br />If the equipment is used more than two hours, fee of $25 per hour on weekdays and $35 per hour on weekends, will be <br />charged. <br />The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use, and in <br />consideration he agrees to pay the rental charge and sign this agreement. The lessee further agrees not to sell, loan, sublet or <br />mortgage the leased equipment and to return the same in as good condition as when received. <br />The lessee acknowledges that he has inspected said trailer, trailer hitch and safety chain, and the other items of equipment, <br />and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same <br />agreeing to assume all responsibility for said leased equipment while it Is in his custody. <br />The lessee further agrees to indemnify and save California Rock & Ready Mix harmless from any liability, claim or ex- <br />pense arising from any injury or damage to his person or property that may occur while said equipment is in his custody or as a <br />proximate result of its being in his custody. In the event of any accident, the lessee agrees to make a written report to <br />California Rock & Ready Mix. <br />The lessee agrees to comply with all laws of the State covering the use of trailers, to travel within the speed limit, and to as- <br />sume all responsibility for fire, theft, confiscation, and all citations and penalties incurred against said trailer while in his <br />possession <br />We are not responsible for any damage encountered while California Rock & Ready Mix Is delivering <br />materials customer has ordered. Customer will pay all tow charges If our truck or equipment gets stuck <br />while dumping or working in the area the customer requested. <br />SiGNATUFI <br />X <br />LICENSE