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California Rock & Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 <br /> (20 ) ,368-5,351 - Fax (209) 368-5824 <br /> 129248 <br /> Drtllt, 1 <br /> NAME <br /> DATE !!! <br /> ADDRESS CLI�I� �eA� <br /> PHONE J J <br /> JOB SITE <br /> TIME <br /> OUT Z 1 Z , ', AMO TIME AM 0 TRUCK NO. TRAILER NO. <br /> PM 0 IN PM 0 <br /> QTY. DESCRIPTION <br /> L PRICE AMOUNT <br /> EQUIPMENT RENTED PRICE/DAY <br /> CAUTION HAND TROWEL SUB-TOTAL <br /> Freshly mixed cement, mortar, HAND FLOAT SALES TAX <br /> concrete or grout may cause skin <br /> injury- Avoid contact with skin EDGER EQUIPMENT <br /> vvneskiinrareassp Iomptllye and wwl h water elIf <br /> TRAILER RENTAL <br /> any cement mixtures get into eyes, CLEANING <br /> rinse <br /> ewater immediatelyandP odnr�etPmediccal CHARGE <br /> attention. KEEIT OUT OF REACH <br /> OF CHILDREN. <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 525 per hour on weekdays and S35 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.T,to 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 /> agreeind to assume all responsibility for said leased equipment while it is in his custody. <br /> •The lessee further agrees to indemnity and save California Rock&Ready Mix harmless from any liability,claim or ex- <br /> pense arising from aninjury or damage to his person or property that may occur while said equipment is in his custody or as a <br /> 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 fi:a, 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. Customerwment gets stuck pay all tow charges if our truck or equip <br /> while dumping or working in the area the customer re nested. <br /> ATURE <br /> X LI ENSE <br />