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Home My WebLink AboutWork order1rl 1 Ji� Ar a • ik��ir4!{j �Y � �� i� !i Il�,l�ti,� � � x�ltihl NII�r4�;� Y ��!Y� r t' 1142 Water Tower Road, Lake Park FL 33403Qg Office:1-877-484-9994 / Fax:56.1-844-7102 South East Florida Division -Dispatch: 561-844-9994 / Central Florida Division Dispatch:407-339-5311 ( 3 C1 Concrete Tested ❑ Yes 0"No LOT #----'-Water Added at Customer's Cylinders Taken ❑ Yes M'No -.- Request Y`� gals. to full load Comments gals. to 2/3 load gals. to 1/3 load ,e Customer's 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 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 medical attention. Keep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWN RISK. BATCH'TIME cement products. Zrw-7 To Plant At Plant - PLANT TICKET# ORDER '# TRUCK# LOADiSIZE' mix SLUMP DATE CUSTOMER,#._ ., P.O.N PROJECT# r_ �SOLDTQ,rr DELIVERY ADDRESS ZONE# USE DRIVER INSTRUCTIONS TIME DUE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT 41 . '`;° 7,(i,� �+ .+:. tj`;},, li'I"�5 r•+'r, ;I. �•j , i lit- �° a SIGNATURE OR RECEIPT,- CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING • asc meyer Concrete Company will not assume liability for any property damage or any SUB -TOTAL equipment damage for any deliveries beyond the curb line. TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL Tkis DELIV lS MADE SUBJECTTO THE FoLLOWli 0NDITIONS: Gustorpe,agrpas to provide a suitable roadway,tor our trucks from the street pavement to the place of delivery of material. IT, s'ue.1) suitable roadways are riot provided, we reserve the right to stop deliveries until condition,,; are remedied . and, in such event, customer will be held responsible for any loss caused thereby, 2. When delivery is made beyondthe curb line at the customer or customer representative's request, any damages inciuding, bait not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the, drain Held, are at the owner's risk. 3, The customer, agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and a°,,-* to indemnify and save harmless said Company from any and all claims, demands and suits for or on account of 0r many manner caused by or arising from private driveway delivery. 4. Customer acknowledges that all material and services shown have been received, that truck times shown are correct, and that the amount of water added at the customer's. request is shown correctly. CAUTION: The addition of water teducps concrete strength and durability. 5, We are not responsible for finished results obtained from this load of concrete; many important factors affecting the ultimate quality of the completed job are beyond our scope of responsibility and control. 6. A charge of $1.00 per minute will be ct arged after 8 minutes per cubic yard unloading time is exceeded. 7. The customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of material, 8. The customer hereby4grees to pay all costs and expenses of bollection, including a reasonable attorney's fee, it he shall tall to pay for the merchandise reflected in this invoice, when due. Past due accounts are subject to a 1-112.010 service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contract r ASCHM E iar: P_AN[`RETE GampANIF OF: FLORIDA. lme_ 1142 Water Tower Road, Lake Park FL 33403 Office: t-877-484-9994 / Fax: 561-844-7102 ;�9 9� J�1j�'' ylll y,l "P� `Lb-Yv e�" . �''I;'i i l tl� r9s1{u9��1, South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 Concrete Tested ❑ Yes ❑ No LOT # i Customer's Cylinders Taken ❑ Yes ❑ No II ,,: Request gals. to full load Comments ' gals. to 2/3 load : to '1/3 load I I Y ,1' 4' ;',' ' - Y igafi Customer's, 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 concrete may cause skin injury. Avoid contact with CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME medical attention. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. cement products. .. • . To Plant At Plant ... • .�3. }y• N PLANT ORDER # TRUCK #• LOAD SIZE MIK_. SLUMP DATE' 1TICKET#, CUSTOMF,R #, SOLDTO. P.O. # PROJECT# f I DELIVERY ADDRESS ZONE# USE DRIVER INSTRUCTIONS TIME. DUE PRODUCT CODE PRODUCT DESCRIPTION • • ' 1 1 r 1 'SIGNATURE OR RECEIPT'- CONCRETE AND ACKNOWLED EMENT,OF HAZARD WARNING • asc meyer Concrete Company will no assume liability for any property damage or any. SUB -TOTAL equipment damage for any deliveries bey6and the curb line. —. TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS' ON REVERSE SIDE, I TOTAL THIS DELA 'IS MADE SUBJECT TO THE FOLLOWL �ONDITIONS-. I.,,! GuMon`ie-agrees to provide a suitable itable r I oadWay for our trucks from the street paverrient to the place of deliv6n/ of material It such suitable roadways are not provided, we reserve the, right to stop deliveries until conditions are remedied and, in such event, customer will be held responsible for any loss caused thereby. 2. When delivery is made beyond the curb line at the customer or custorner representative's request, any darriageas including, but not limited to, sidewalks, driveways, buildings., trees, shrubbery, septic tanks and septic systems, including the drain field. are at the owner's, risk. T he customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or in any manner caused by or arising from private driveway delivery, 4. Customer acknowledges that all material and services shown havo been received, that truck times shown are correc,, and "hat the amount of water added at the customer's request is -shown correctly. CAUTION: The addition of water reduces concrete strength and durability, 5. 'We are not responsible for 'finished resuiLq obtained from this load of concrete; many important factors affecting the ultimate quality of the completed job are beyond our scope of responsibility and control. S. A charge of $1.00 per rnmuie will be cha-rged aft6}.-ti rninute,3 per cubic yard unloading tinie'is'e'xceeded. The,c6stomer agrees to provide a suitable wash down facill y for our trucks and tools at the place of deflveTy of material. 8. The customer hereby pgre es to pay all costs and expensesbf collection, 'including a reasonabld attorney's fee, if lie spa's) fail to pay. or the merchandise reflected in this invoice, wheri due: Past due accounts are subject to a 1-1 /2% service charge on the unpaid past due balance. The customer hereby acknowledges -receipt of the complete copy of this contract.