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167727 <br />KNIFE Amador Transit Mix, Inc. <br />RIVER P.O. Box 66001. STOCKTON. CA 95206 <br />Telephone: 209-223-0406 Fax: 209-267-9040 <br />I DELIVERY TICKET <br />CON!"Hill: MA <br />INC, DBA ADOR TRANSIT MIX, INC, AND DRIVER OF TRUCK JOB SITE CYLINDER DYES CONCRETE INC. DUANIADOR TRANOTMI1111111C. VNAVAW*WMC8n*N= <br />. "": , '_%��, , , . � , , MTHIS t; TO CERTIFY I" M " <br />e wwAN 4*W*W omvmMy was vmqhazt, <br />Water Ga(s. to full Iwd JfES , <br />or Hata 0"VICIft, <br />""Alwh-d- en detve" *uwwas or.,To%% It* cwb llr t etole CklInNs Nw Added reeognaed by Chapw 7 <br />,-4aer�90 ** ne, be 4ftx"d twowMode 41 out tom tw "MI%mm WAs dalmqw On Job Gals- to 293 load ;,YES jo-4rawen" with Sec*wi 137001 us Divium 5 at Haa Cwftrr" au3awa3s am <br />AMTIONAL VMMR ADDED Tn THIS CONCRETE \MLL REDUCE ITS At pmk>ss m Code, aft%m. mrvo by the Dromen <br />S-MIFNC11*4• ANY WAIM ADMO is AT CUSTOMER'S OWN RISK Customer's '— 0" - " r -*-1 3- kq-'A— <br />CONC BECOMES THE OUPUTY <br />C AE -TE IS A Pi COMMODITY AND —Gals� to 113 lcmd JYES <br />PIRVOURTN OF THE PURCHASER UPON LEAVING THF PLANT ANY Request <br />C*-'ANQES 04 CANCELLATION OF ORIGINAL INSTRUC11ONS MI UST BE AUTHORIZED BY' <br />Tr- "0'*D TO OU[R C %;: OF B E FORE LOAD046' STS R I IMPORTANT SEE REVERSE FOR INFORMATION REGARDING <br />X MECHANICS LIEN LAWS, CREDIT SALE INFORMATION. & TERMS <br />X AND CONDITIONS OF SALE <br />OAD 70.108 ON JOB BEGIN POUR FINISH POOR To PLANT <br />(Cot): ORDER 4 DEL TICKET , INVP LOAD SIZE <br />CUSTOMER 9 CUSTOMER NAME <br />CUSTOMER LEVEL <br />JOR ADDRESS <br />LOAD CUMULATIVE ORDERED PRODUCT <br />QUANTITY QUANTITY QUANTITY CODE <br />MIX <br />ORDERED BY <br />USAGE TRUCK <br />DESCRIPTION <br />SLUMP USE PATE <br />TAX if <br />DRIVER - ---- ---- -T- <br />UNIT PRICE AMOUNT <br />T1* "WA" Wftd am not warral)w to be awcwlablle for ativ 0twailaq use, 5 MINUTES PER YARD SUBTOTAL <br />;-Xapo" OF aPWzahori.. nor are; they %atnnhIid to tirs atx*plable for rise in any TAX <br />FREE UNLOADING TIME <br />palbrA4140' wtth any pamckakir Soil tviridtlwms <br />Buyw s selection of #* que1w m\. sinless olhoronse aii*irio-�Iqed ori writing ALLOWED. <br />taw Core"* , w was ba 0".TM'i M tw- ww"ieut " aciv-lck-, mmilkabon. Additional unloading time <br />rW.wMWKkMM or Suggesbon of ConMte.. Inc and Buyw asstimes All f%sk charge at current hourly Dally <br />truck rate of $90.00 per hour. Accumulative Total <br />,* � :�- %"� <br />37. 512 <br />51121G.. w <br />506.5e <br />Weigheaster Certificate <br />ThIS IS TO CERTIFY that the fall*Wing described comood1ty w&s wrighedseastill-*d, <br />