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California Rock & Remy Mix <br /> 1200 E. Turner Rd. - Lodi, CA 95240 128889 <br /> 0.) (209) 368-5351 • Fax (209) 368-5824 -. <br /> NAME ��"t ii, �� DATE /_ /t5 I'Z—(l <br /> ( 7 r- [ lyo <br /> ADDRESS 3/ 2 ("��?c�Yt�,� .� I' PHONE 0 L? <br /> JOB SITE <br /> TIME ,7 I AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> CALIFORNIA ROCK AND READY MIX <br /> 12&1E AURNER 95240 D <br /> LOU C <br /> ' 2p� 368-5351 <br /> Merchant IU: 0449 Store "t 4039 <br /> Term N: 0003 Ref It: 0023 <br /> Sale EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br /> HAND TROWEL <br /> XXXXKXXXXXXX3933 HAND FLGAT SALES TAX <br /> VI9A Entry Method Manual EDGER EQUIPMENT <br /> UIINME T <br /> TRAILER CLEANING <br /> 11315.24 CHARGE <br /> Total: $ <br /> --[TOTAL 5 yl <br /> 1Q;13:59 ENTAL AGREEMENT <br /> 04�42i21 00183D ;ee agrees to pay a S50 cleaningcharge. <br /> Inv 000023 Pppr Code of$25 per hour on weekdays and$35 per hour on weekends,will be <br /> 581092164390248 has been delivered to his custody and control for his own use,and in <br /> Transaction ID; gatch�; 000139 In this Oagreement.The lessee further agrees not to sell,loan,sublet or nline n as good condition as when received. <br /> Apprvd-, railer,trailer hitch and safely chain,and the other items of equipment, <br /> MATCH M I secure and the other equipment serviceable and he accepts same <br /> CVV2 Code )ment while it is in his custody. <br /> )rnia Rock&Ready Mix harmless from any liability,claim or ex- <br /> xoperty that may occur while said equipment is in his custody or as a <br /> I <br /> of any accident,the lessee agrees to make a written report to <br /> agree to aav above total amount <br /> edit <br /> card 155uer agreement veering the use of trailers,to travel within the speed limit,and to as- <br /> according to voucher) II citations and penalties incurred against said trailer while in his <br /> (Merchant agreement if cr <br /> red while California Rock&Ready Mix Is delivering <br /> ay all tow charges if our truck or equipment gets stuck <br /> requested. <br /> ---- LICENSE <br /> Merchant COPY <br /> THANK YOU <br /> PLEASE COME AGAIN <br />