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HomeMy WebLinkAboutMaterials Order Invoiceo
MOBILECRETE
8 MOBILECRETE
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TECHNOLOGIES CI VISA
TECHNOLOGIES
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Metered and Mixed Fresh Ort-Site
772.466.5070 ❑AMEX
Metered and Mixed Fresh On-�Site
El VISA
© AMEX
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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: