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f,alifornia Rock & Ready Mix <br /> 1200 E. Turner Rd.' • Lodi, CA 95240 147056 <br /> (209) 368-5351 Fax (209).368-5824 <br /> NAME V APA CA DATE 124 LL <br /> ADDRESS I I ��� �l Ir��C G PHONE <br /> JOB SITEVv' " 0 <br /> TIME AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT U PM ❑ IN PM ❑ <br /> !' OTY. DESCRIPTION PRICE AMOUNT <br /> EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br /> CAUTION HAND TROWEL <br /> Freshly mixed cement, mortar, HAND FLOAT SALES TAX Lf <br /> C( <br /> Concrete or grout may cause skin EDGER EQUIPMENT <br /> W26injury. Avoid contact with skin RENTAL <br /> possible and wash exposed TRAILER <br /> skin areas promptly with water. If CLEANING <br /> any cement mixtures get Into eyes, CHARGE <br /> rinse immediately and repeatedly <br /> with water and et prompt medical �1 <br /> OF CHILDREN OUT OF REACH Zvi <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$25 per hour on weekdays and$35 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.The 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 thaLhe has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same <br /> agreeing to assume all responsibility for s,jid 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 any injury or camage to his person or property that may occur while said equipment is in his custody or as 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-railers,to travel within the speed limit,and to as- <br /> sume all responsibility for fire, 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.Customer will pay all tow charges if our truck or equipment gets stuck <br /> while dumping or working in the area the customer requested. <br /> IG ATURE LICENSE <br /> X <br />