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Home My WebLink AboutConcrete Order-oho 7 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 / Fax:561-844-7102 South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 Concrete Tested ❑ Yes ❑'No' LOT # Water'Added at Customer's Cylinders Taken ❑Yes ❑;No, '; Request 40 gals. to full load Comments d I gals. to 2/3 load t } gals. to 1/3 load 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 Job On Job P7NTTICKETO ORDER # TRUCK # LOAD SIZE MIX SLUMP DATE CUSTOMER # SOLDTO P.O. # PFIOJECT# DELIVERY ADDRESS ZONE# USE DRIVER INSTRUCTIONS TIME DUE CUMULATIVE ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PR CE ! QUANTITY QUANTITY SIGNATURE' OR RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING . asc eyes concrete ompariyrwl no assume liability or any propertydamage or any SUB -TOTAL equipment. Ima for,any deliveries beyond the curb line, y ��'•. r' TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL THIS DELIVERY IS MAC JBJECT TO THE FOLLOWING CONDITIO 1. Custor6er agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of material, If 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 customer representative's request, any damages 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. 3. The customer agrees to reimburse said,Company for loss of time and equipment by reason,of such, delivery, and also to indemnify and save harmlegs 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 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 reduces concrete strength and durability, 6. 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-ciharge of-$l =-pe�4piAute-wit be-dhar.ged 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 ftreby figrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if he shall Jailto pay forthe merchandise reflected in this invoice, when 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, I rw 1142 Water Tower. Road, Lake Park FL 33403 Office: 1-877 494-9994 / Fax:561-844-7102 South East Florida Division UlSpatcn.', 5-1141-yyy4 J Lientral Florida uivision Uispaich: 4U w (0 A Concrete Tested ❑ Yes. No LOT #:: ;Water Added at Customer's Cylinders Taken ❑ Yes 'MN n„ ,. Request gals. to full load Comments n� gals. to 2/3 load gals. to 1/31load 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. Load To Job PLANT TICKET# TRUCK # LOAD SIZE MIX SLUMP DATE JORDER# I r CUSTOMER# SOLD TO P.O.;# PROJECT# ' DELIVERY ADDRESS ZONE# USE DRIVER = INSTRUCTIONS ITIME DUE, 171 Lei W-11 I W AM@] 1111AIN41 I PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT • • • 7'2 SIGNATURE OR RECEIPT -CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING . asc, meyer Concrete Companywi no assume la or any property amage or any SUB -TOTAL equipment damade ,for any deliveries beyond the curb line. TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. 1 TOTAL I THIS DELMERY IS MADE SUPJECT TO THE FOLLOWINI ' IONDITIONS: Customer agrees to provide alitable roadway, for our trucks from the street pavement to the place of delivery of material. If such suitable roadways are 6-6t provided, we reseNe the right to stop deliveries until conditions are remedied and, in such event, custorber will be held responsible for any, loss caused thereby. 2. When delivery is made beyond the curb'line at the customer ocustomer representative's request, any damages including, but not limited to, sidewalks, driveways, buildings, trees, shrdbbery,,geptjc tanks and septic systems, including the drain field, are at the owner's risk, 3. The customer agrees to reimburse said Company for loss of time and equipmentby reason of such delivery, and also to indemnify and save harmless said Company from, I any and all claims, demands and suits for tartan account of or in any manner caused by or arising from private driveway delivery, 4. Customer acknowledges that all,material and servides 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 reduces concrete strength and durability, x. 5. We are not responsible for finished results obtained from this lo - ad of concrete; many important factors affecting the ultimate quality of.the completed job are beyond our scope of respons ility and control. A*dhar,, es qe of $1.00 per minute will lie after 8 minutes ;r cubic yard unioading 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 hereby agrees to pay all costs and 6.xpenses of collection., including a reasonable' attorney's fee, ifheshall fail to pay -for the merchandise reflected in this invoice, when'due: Past due accounts are su,61�ctt&a 1-1/2% service charge on the unpaid past due balance. The customer hereby,acknowledges receipt of the complete copy of this contract.