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California Rock & Ready Mix <br /> 1200 E. Turner Rd.- • Lodi, CA 95240 <br /> (209) 368-5351 • Fax (209) 368-5824 139825 <br /> 6" <br /> NAME '1 tG r LJ 5� DATE�-� Z I �1 <br /> ADDRESS �1 i) C�U '( �L �f J "�1 PHONE <br /> TIME AM in TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT ( .7G PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> 1 ,l <br /> c, S < <br /> ve, <br /> EQUIPMENT RENTED PRICEDAY <br /> CAUTION HAND TROWEL <br /> Freshly mixed cement, mortar, HAND FLOAT <br /> concrete or grout may cause skin <br /> injury. Avoid contact with skin EDGER <br /> where possible and wash exposed TRAILER <br /> skin areas promptly with water. If <br /> any cement mixtures get into eyes, <br /> rinse immediately and repeatedly <br /> with water and qet prompt medical <br /> attention. KEEP OUT OF REACH <br /> OF CHILDREN. <br /> SALES & RENTAL AGR <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a S <br /> •If the equipment is used more than two hours,fee of S25 per hour on v <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered <br /> consideration he agrees to pay the rental charge and sign this agreement l <br /> mortgage the leased equipment and to return the same in as good condition <br /> •The lessee acknowledges tha'.he has inspected said trailer,trailer hitch a <br /> and that he has found the trailer and hook-up safe and secure and the o <br /> agreeing to assume all responsibility for said leased equipment while it is in - •..�.,ner� <br /> •The lessee further agrees to indemnify and saveCalifornia Rock&R <br /> pense arising from any injury or damage to his person or property that may <br /> proximate result of its being in his custody.In the event of any accident. <br /> California Rock&Ready Mix. „- <br /> •The lessee agrees to comply with all laws of the State covering the use o <br /> sume all responsibility for fire, theft, confiscation, and all citations and I <br /> Possession, <br /> We are not responsible for any damage encountered while Ca Merchant Copy <br /> materials customer has ordered. Customer will pay all tow ch THANK YOU <br /> while dumping or working in the area the customer requested. PLEASE COME AGAIN <br /> SJ <br /> N TURE <br /> X <br />