HomeMy WebLinkAboutBatch Tickets 4 n
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T wer Road Lake Park FL 33403
= 1142 Water o ,
Office:1-877-484-9994 /-Fax:561-844-7102 ` s. , 6'4 9
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South East Florida Division Dispatch:561-844-9994 / Central Florida Division Dispatch:407-339-5311
Concrete Tested ❑Yes 'R No :_ LOT# j`/water Added at Customer's
Cylinders Taken ❑Yes'• No � Request
Comments. i gals. to full-load
gals. to 2/3 load
gals.to 1/3 load
Customer's Rep-Water Added
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND.EYES '' '"
r ADDITIONAL WATER ADDED"TO THIS,
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury.Avoid contact with
SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or:;, CONCRETE�WILL REDUCE ITS STRENGTH-
mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND_DUFTA8ILITY.ANY WATER ADDED IS
medical attention:Keep children away from cement powder and all Ireshly_mixed
BATCH TIME; ;_ .. .F cement-,products' w -41
AT CUSTOMER'S OWN RISK:,
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` PLANT TICKET
ORDER# TRUCK# LOAD SIZE MIX SLUMP DATE
jl71` t��ti'' ,f::;l.l.:, Ef?i„ l;n [-;I171i1 (,T+[°rsi i i?II[i i4r,r. 7.;.. . + .
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CUSTOMER# A ]SOLDTO ' [ ( { 1 .1 P.O.# PROJECT# :I«
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DELIVERY ADDRESS ZONE11' USE DRIVER
F (" 7I'•t 1 ;j s. . l 'i iA iii R 7.+1_
INSTRUCTIONS TIME DUE
AMOUNTLOAD CUMULATIVE dRDERED PRODUCT CODE PRODUCT DESCRIPTION U.04 UNIT PRICE
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SIGNATURE OR RECEIPT-CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING',
past meyer �oncrete •eompany willno assumeliabilityor any property damage or any SUB-TOTAL
equipment` amage1or any el varies beyond the curb line. T
AXII
A) k 1 '} I AUTHORIZED BY
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL
THIS DEL _ I`d tS I%IAD r SQBJE-T I*'Ti V
to provide a suitable ro. eiva ;<for our trucks frorn the stroet pave`tnent to tn.- ;
JC1r suitable roadways are not prop:ic!od; we tescr,�e the right to stop deliveries Until conditi -16,_.
:vent, customer will be held responsible for;any loss caused thereby. ;
`J�,�hp, Wiven�is made beyond the curb iine,�Ii ttte customer or customer representative's req.L r. r ngo
xlu':riot lirnited to,sidevi-alks, driveways,bui#difigs, treas, shrubl,ery, septic tanks and septic, rtr iudi,� i
i,-(Id, ..re at the owner's risk. }:
+c ei agrees to reimburse lair Company for loss,of tare and equipment by reason=_ ;, ref, �pd also
,v,e,-rinify and save.harmless said{company fr:o,rn any_and.all cairns,demands and suits for. or,ih ariy
--it iei-eau sed by or Sri slug 1r m.prkiate drivels,,cy .delivery.
C"ustorner acknowledges 4,hat all rn:=;tedal grid services shown n hilve been received,that ttUCk'! )r O-Ai' a correct,iiiga,.
hAt the arnot.rnf(,,fr« adder'-.;,the customer's request is snotvr;correctly.C l F t_I-"TION ;, ,;..
-,
.'rater �;duce
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c rr c;rete strength and durabiht4'
14e are n-I!responsible forfinished results 6btained from this load of concrete,many rmpNla, t; ~ f�:s affecting the ultimate
quaii':y of the completed iob are beyond our scope of responsibility and control.
A charge,:�'i�f�i.Ot`J per n-trnute will be charged after 8 minutes per cubic yard unloading time is::;,:caeded.
t c.customer,agrees to provide a suitable wash dovin ra.cility for our trucks and tools at the f ..ue of delivery of m8terial.
'Tho customer hereby agrees to pay all costs and expenses of collection,including a rcaasona: : :attorney's tee,. he 8M-ll
fMii to pay`or the nn rchandise reflected in this invoice,-whe„due:Past due accounts are sub „ 'G a -1 i2%service
charge on the Unpaid past due balance.Tho customer hereby acknowledges receipt of the c;or t d c.py o?thus contract.
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•MASCHMEAUR } l .l}
RIDA,INC.
CONCRETE COMPANY OF FLO
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11142 Water Tower Road, Lake Park'FL 3340i
Off ice:1-877-484-9994;/ Fax:561-844'-7102 C
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South East Florida Division Dispatch:561=843.,-9�994 / Central Florida Divisiotospatch:40.7-339-5311
Concrete Tested ❑Yes -.`O No ./. LOT: ;r ' �..
Water Added at Customer's
#:
G�ylinders Taken ❑Yest q[ q '' } _�, r.:', Req ees='
Comments `�, ���gals.to full load
_ ;1 gals.to 2/3 load
_ r gals.to 1/3 load
I i gut
Rep-Water Added
NOT,RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR'' Cement polymer or freshly mixed,concrele may cause skin injury.Avoid contact..with
SURFACE DISCOLORATION ,skin and wash exposed skin areas piomptly with water. If any cement powder or CONCRETE"WILL REDUCE ITS STRENGTH
imixture gets into eyes, rinse immediately and repeatedly.:with water.and get prompt:'. AND DURABILITY.ANY WATER ADDED IS
BATCHTIME; gr -.r fin. r• , medical attention, Keep children away from cement powder and all freshly.mixed
fy:} .; ;, 3 cement products.' AT CUSTOMER'S OWN RISK.
To .. On .. •.
-- PLANT' :', 'TICKET# ORC�ER# . TRUCK# LOAD SIZE ` • MIXa r IL
DATE t
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CUSTOMER--#..i. } SOLDTO y- _' P.O.# PROJECT#_
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DELIVERY ADDRESS ZONE# USE DRIVER q
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{. r5I'r1'Cj--El`ti•tn
TIME DUE
INSTRUCTIONS
• a
CUMULATIVE ORDERED PRODUCT CODE
@IN[&-Vill QUANTITY QUANTITY
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1. I:IT'+'{fit l:�i`(l+ I j-t f:t�i. F<t.•i�li'±a.i•1 4'fli_. y 1.=P: 7,' F a
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SIGNATURE OR RECEIPT-CONCRETE&ANDACKNOWLEDGEMENT OF HAZARD WARNING l a ri• `�+ � _--
asc meyer or�crete Company w! 1not assume liability or�any propertydamage or any SUB-TOTAL
equipment damage for any deliveries-beyond the curb line.
TAX "
--AUTHORIZED BY
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL 1�y
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THIS DE T E r-,Y IS" ADE SUBJEC`,4„,P 3 ,�r POLL 4G CONIDITIONS
a
t us;tcrner agrees to provide'a suitable rOad;uay f0f our trucks from the stre6C p kv,6ment to the place of delivery of matei i3.1
such suiial)le roadways are not provided,we resei-A the right to stop deli ve.rieffunfiil conditions are rernedied and,it
sver;i, customer will be held responsible for any loss caused d,oreby.. r
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�. +ski i0r delivery is made beyond the curb line at the i�ustorhb,,G� 15tomer r'abiltenti4'V?"S reg4 S1,ar:y.Ca
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r,t no' limited xo, sidewalks, driveways, buildings, trees. shr_i berg. suit tanks and set, c'` $ee"'srs it e:l,rdir,ca tree;drair,
told iirn at.the oyjmer's risk. !:
he c,Fsi:Gmeragree?s td re;mbursr,'said Company for IGsS of time and equipment by rar3 tart.flf��i,lcf ieii'�'er!� !'d ai;`7 `:
irir_jomnify and saveharmless raid Company from any and Nj;Iairns, demwids.and suits-for oxrci -.c:ount o�
L
rr;anner caused by Gr arising frorin prr vat e drivew2,y delivery. �-
G_,uS,ornet-a kii0%"/l6C-1,g s t�a t a I rk r�,�,dl c^�flil services •hoVwn��VG'w}'U��n teCf31V_Rd;II IattY�lGIC tirCaBS �:`;«kr are r s
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ihat the amount of water add` , < ee'cu rrectly. CAUT ON-The ad"I, or, e v- 0?S
c�Gri,mte.strength and du
C85pr3nS'U 3.fOf tlr i5 ?eC�Y?S�rItS.GIZt3!l E u(c�4 i�t1t £inCtett' dli 'r
qua! W ri the completed job are beyond our-sc'op?
criaruc of`r1 M per rrrinute will oe.charged aft ar - pe; r , r �ttrt
'iie r-,,6Zorler agrees to provide-c^sLfitabie vdaSh dOL4n ia61 I}y fUr GUrtr"UC kS and-3s7 11x:'' & I F I delivery GI n'i^�tt'i'i,ai.
'*
The gusto imer hereby i�yre2s to pay all costs.and exp uses of collection,including a reas able 3tioenPy's.fe✓;it he { a!i
fail to pay for the me.rchandise reflected in this invoice, whe,due: Past due accoUrits are' object to a i-14?%servica"..
Charge or tr;e unpaid past due'balance.The custorner hereby acknowledges receipt olRi ip compfete copy of tI?i4 co !a(-.