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HomeMy WebLinkAboutMaterials Order Invoiceo MOBILECRETE 8 MOBILECRETE MC o1 TECHNOLOGIES CI VISA TECHNOLOGIES o Metered and Mixed Fresh Ort-Site 772.466.5070 ❑AMEX Metered and Mixed Fresh On-�Site El VISA © AMEX CL N CC) 3825 Selvitz Road, Ft. Pierce, Florida 34981 Date: If1 t ' i Cubic yds, ordered:�1 772.466.5070 3825 Selvilz Road, Ft. Pierce, Florida 34981 t � , Date: Cubic yds. ordered: Time of job. fu':} �- (J lime of jab: Customer Name: S-' Phone: Delivery Address: Customer Name: � Phone: Delivery Address. City: City, .! Project Name: ��;Jt+,� P_O.#: Project Name: P.O.#: YARDS USED MIX REG. UMP PEA ROCK #57I67 PRICE PER YD AMOUNT FIBER AD MIX OTHER TIME ON JOB TIME STARTED TIME FINISHED DELIVERY CHARGE TRUCK O.T. FEE 10 Minutes of FREE unloading for every yard. $1.00 per Minute After SHORTLOAD FUEL SURCHAME ENUIRONMWAL SUB TOTAL TAX TOTAL DUE REMARKS: 0 N Purchaser assumes full responsibility for strength, slump and quality of concrete when changing the cal'[Wation of s rock or water, or other material requested on the job. [,the undersign it assr�me a nsibility for any damage %vhere delivery Is made ; o inside of the cu cli ! � Customer K: i Driver:` T r Meter Reading: Truck [Number: YARDS MIX DESIGN USED REG. UM PEA ROCK 957f67 PRICE PER YD AMOUNT FIRE (AD MIX OTHER TIME ON JOB TIME STARTED TIME FINISHED DELIVERY CHARGE TRUCK O_T. FEE 10 Minutes of FREE ��®1�,n,loading for every yard. 1.00 per Minute After SHORT LOAD FUELSURCHARCE ENVIROWENTAL SUS TOTAL • �, TAX $3 TOTAL DUE , REMARKS: #_ C Purchaser assumes full responsibility for strength, stump and quality of concrete when changing the calibration of sand, rock or water, or other material requested on the job, I, the undersigned, wilossu 1� all r sponsibility for any damage where delivery is made inside of the curb. Customer X: Driver. - Meter Reading: i Truck Number: