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California Rock & Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 144724 <br /> I�(,6X (209) 368-5351 Fax (209) 368-5824 <br /> l� ` Z Z <br /> NAME ( I\ 'S DATE <br /> ADDRESS <br /> 40NE <br /> JOB SITE C-76,, . nI -pail FR Nn. <br /> TIME AM ❑ TIME Ah <br /> OUT C Z 3C PM ❑ JIN PN <br /> QTy, DESCRIPTION <br /> CALIFORNIA ROCK AND READY MIX <br /> J 1200 E TURNER RD <br /> LODI CA 95240 <br /> { h 209 368-5351 <br /> Merchant ID: 0449 <br /> Term u: 0003 Store u: 4039 <br /> Ref IT; 0018 <br /> ( Phone Order <br /> r XXXXXXXXXXA3293 <br /> VISA Entry Method; Manual <br /> EQUIPMENT RENTED PI <br /> CAUTION HAND TROWEL Total: $ 1,250.29 <br /> Freshly mixed cement, mortar, HAND FLOAT <br /> concrete or grout may cause skin EDGER <br /> inJury. Avoid contact with skin <br /> where possible and wash exposed TRAILER 07/1222 <br /> skin areas promptly with water. If 12:17:10 <br /> any cement mixtures get Into eyes, <br /> rinse immediately and repeatedly Inv a: 000016 Appr Code: 013350 <br /> with water and et prompt medical <br /> attention. KEEf�OUT OF REACH Transaction ID: 302193694300007 <br /> OF CHILDREN. EEEEJ <br /> Apprvd: Online Batchg: 000226 <br /> SALES & RENTAL AGRI CK Code: MATCH M <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a b`_ <br /> •If the equipment is used more than two hours,fee of$25 per hour on w <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered t, .. <br /> consideration he agrees to pay the rental charge and sign this agreement.TI I agree to Pay above total amount <br /> mortgage the leased equipment and to return the same in as good condition; according to card issuer agreement <br /> 4 •The lessee acknowledges that he has inspected said trailer,trailer hitch ar (Merchant agreement if credit voucher) <br /> and that he has found the trailer and hook-up safe and secure and the of <br /> agreeing to assume all responsibility for said leased equipment while it is in t <br /> •The lessee further agrees to indemnify and saveCaiifornia Rock&RE <br /> pense arising from any injury or damage to his person or property that may c <br /> proximate result of its being in his custody.In the event of any accident,t <br /> California Rock&Ready Mix. <br /> •The lessee agrees to comply with all laws of the State covering the use of <br /> sume all responsibility for fire, theft, confiscation, and all citations and F <br /> possession. Merchant Copy <br /> We are not responsible for any damage encountered while Cal THANK YOU <br /> materials customer has ordered.Customer will pay all tow ch: PLEASE COME AGAIN <br /> while dumping or working in the area the customer requested. <br /> G ATURE <br /> X <br />