HomeMy WebLinkAboutMaschmeyer Concrete Invoicea
CONCRETE717
MASCHME? R
.•
1142'Water Tower Road; 'Lake Park FL 33403' - fag �"-� 692694
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
Request
Cylinders Taken
❑ Yes ❑ No
gals. to full load
Comments
gals. to 2/3 load
TRUCKI:17
gals. to 1/3 load
ustomers RepWater Added
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Iniury. Avoid contact with
with water. if any cement powder or
ADDITIONAL WATER ADDED TO THIS
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION skin and wash exposed skin areas promptly
mixture gets Into eyes, dnee immediately. and repeatedly with water and get p►omPt
Keep children away from cement powder and all freshly mbced
AND DURABILITY. ANY WATER ADDED IS
BATCH TIME
14261 medical attention.
cement products.
AT CUSTOMER'S OWN RISK.
L0,1d
On Job o'1111 in Wosh
�� -S
To Plan! A I, Plant
;b b:3
R �.:�3 10
P 3rqW9902
°PM" rM11LOA41949 ImS512111011 RES
stuff', 0 DATE 10/ 13/ 14
CUSTNM
6OLDT8jULICK CONSTRUCTION CO. INC.
P•O•" BJ
PROJECT 1484
DEUV#RY19Mnd Way Dr
WIT IN
WE SLABS
ABS
DRIVE Aleean
IN men
- north of JB Blvd
�'""°:"�0 PM
...
-e.
• UNT
OIJANTITY
OLIANTITY QUANTITY
'A
1.00
1$4.00 1.00 FIBERR FIBERS - Resident
ea
0.00 ENV I RO ENVIRONMENTAL DI 0
ea
1.00
0.00 2 FUEL SURCHARGE
ea_
SIGNATURE OR RECEIPT - RETE AHD D W
u PnY P mage or any
g�&TOTAL
equl de a for I out n�.
TAX
ENT
C O RE
TOTAL
V
•a ..
,
Division Dispatch: 407-339-5311
Concrete Tested O Yes .
No LOT # :.
Water Added at Customer's
Request
Cylinders Taken ❑ Yes
No
V gals. to full load
Comments
gals. to PA load
PREVIOUS TRUCK # 182 gak. in tis to
/Poomefs Roo - Water Added
NOT RESPONSIBLE FOR
WARNING IRRITATION TO THE SKIN AND EYES
AD HAL WATER ADDED TO THIS
VARIATION IN COLOR OR
Cement colvmer or freshly mixed concrete may cause skin Infury. Avoid contact with
skin and wash expwed skin areas promptly with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION
mixture gala into eyes, rinse Immediately and repeatedly with water and get prompt
anention. Keep children away from cement powder and all freshly mixed
AND DURABILITY. ANY WATER ADDED IS
aATCH TIME
;medical
cement products.
AT CUSTOMER'S OWN RISK.
• Degin Wash
To Plant. At Plant
PL"3 TICt9 9896 109Wr"41LOAt WE. 0 M25010.REG,
SLUM 00 DOE 10/ 1 / 14
Cuomo
S0LDTSUL I CK CONSTRUCTION CO. 'INC.
RO• "' BJ
PROJECT' 1484
°Etly nvNrf&d Way Or
WRTIN
USE SLABS
11RIRKeith Cintron
'"en —north
of JB Blvd
"1 °u94 PM
LOAD CUMULATIVE
ORDERED PRODUCT CODE
PRODUCT DESCRIPTION
U 0.111 AflT PRiCE
AMOUNT
QUANTITY OUANTITY
QUANTITY
1.00 100.00
1.00 FIBERR
FIBERS .— Reeidentia
ea
1.00
0.00 ENV I RO
ENVIRONMENTAL DISPO
ea
1.00
0.00 2
. FUEL SGRCHARCE
ea .
TU RECEt - E ARNI
s y wl rnm u a ,y prupony dimuld or any
SUBTOTAL
ey„
deliv
7HtPMENT7
TAX
aeo By
IA6ERSE
TOTAL
r
;r-
•T lip
CONCRETE COMPANYOF • • , • INC.
f
1142 A" Tower Road Lake Park FL
692682
Office:l-877-484-9994 / Fax:561-844-7102
South East Florida Division Dispatch.Y1-844-9994 / Central Florida Division Dispatch: 407-339-5311
Conaete Tested ❑ Yes [�j'FI9/ LOT #
Cylinders Taken ❑ Yes b4o
Water Added at Customer s
Comments
Request
gals, to full load
gals. to 213 load
PREVIOUS TRUCK a 170 gals- to 113 load
r
u I e ep - star Added
NOT RESPONSIBLE FOR
WARNING IRRITATION TO THE SKIN AND EYES
VARIATION IN COLOR OR
Cement aolvmer or freshly mixed concrete may cause skin Infury. Avoid contact with
skin wash
AD WAS ADDED TO THIS
SURFACE DISCOLORATION
BATCH TIME
and exposed skin areas promptly with water. It any cement powder or
repeatedly with water and get prompt
mixture gets into eyes, rinse immediately endmfreshly
medical attention. Keep children away from ceent powder and all fhl
CONCRETE .WILL REDUCE ITS STRENGTH
AND DURABILITY. ANY WATER ADDED IS
11.t 45
cement products. mixed
AT CUSTOMER'S OWN RISK.
Load 'u
Job On
IOU
1
O
3 49992 7�M
. T YWA LOAq IZI
S DATE
IM1500 REO
. 00 10113/ 14
CUSTOMER • SOLDTO
ea". GULICK CONSTRUCTION CO. INC.
P.O.
BJ
PROJECirt 11484
DELIVERY AWRESS
L.Lsland Way Dr
MARTIN
USESLABS
DRIVER
Mitchel Sellars
INSTRUCTIONS
Jensen - north
of JB Blvd
TIME DUE
1205 PM
•.. CUMULATIVE
ff:',DERED
U. 0. [VI. UNIT PRICE
AMOUNT(JUANTITY
10. 00 9rL►:: 001
90. 00 25046000 2500 R G
y d
1.00 90.00
1.00 FIBERR FIBERS - Resident is
ea
1.00
0.00 ENVIRO ENVIRONMENTAL DIC 0
ea
1.00
0.00 2 FUEL SURCHARGE
ea
r
A2faRD WARNI
AND AICK EOEM.
JWWAW-41�xmw
Ctpqp
no ny °as s r irlyp1n
ge f a line. �Y
SUB -TOTAL
g
TAX
-F GqN7
sSU13JECT
ON
TOTAL
4 �— — w ME�
SCH
CONCRETE COMPANY OF .• ..
1142 Water Tower Road, Lake Park FL 33403
Office:1-877-484-9994 / Fax: 561-84 -71
South East Florida Division Dispatc44-9994 / Central Florida Division Dispatch: 407-339-5311
692676
Concrete Tested ❑ Yes LOT #
Water Added t Customers
Cylinders Taken ❑ Yes ONo
uest
Is. to full bad
Comments
gals. to 213 load
DREUTnI IIR TR11r Fla 174_
S. to 1/3load
ae
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
ADDRIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin iniury. Avoid contact with
skin and wash exposed skin areas promptly with water. If any cement powder or
CONCRETE' WILL REDUCE ITS STRENGTH
SURFACE DRSCOLORA710N 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
BATCH TIME
10: 30 cement products.
AT CUSTOMER'S OWN RISK.
Load !o Job, . •.
03 loaq jjq0
07- I.V,3"?
PLANT
103
TICKET•
84988E
ORDER M
58
TAUCK •
170
LOAD SIZE
10.. 0
MIX
2500. RES
SLUMP
5. 00
DATE
.10/ 13/ 14
CUSTOMER •
2860
SOLDTO
GULICK CONSTRUCTION"CO. INC.
P.O. E
BJ
PROJECTY
11484
DELIVERY ADDRESS
1 Island Way Dr
ZONE•
MARTIN
USE
SLABS
DRIVER
Mike Baiardi
INSTRUCTIONS
Jensen - north of JB Blvd,.
TIME DUE
11119 AM
LOAD CUMULATIVE ORDERED
PRODUCT CODE
PRODUCT DESCRIPTION
U. 0. M. UNIT PnICE
AMOUNT
QUANTITY QUANTITY QUANTITY
10.00 80.00 80.00
25040000
2500 REG
yd
1.(00 80.00 1.00
FIBERR
FIBERS - Res ident
is
ea
1.00 0.00
ENVIRO
ENVIRONMENTAL DI
0
ea
1.00 0.00
2
FUEL SURCHARGE
ea
.
TUIN AND'ACKNOWLED
WARNING
Fa • ;oncrets Company will not assume liability Tor any property clarnage or any
SUB -TOTAL
equlprrwrt f..ga for any deliveries beyond the curb line.
TAX
'
pQ D BY
TOTAL
..•
a# .
l
OF
MASCHMEItR
. FLORIDA,
1142 Ulfater fibad, Lake Pe k FL k4a6
Office- 1-877-484-9$94 :J 'Fax: 561-844-7102
South East Rorida4lwiolt. Dlsoatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311
692673
Co -Tested
[].Yes
No LOT #
Water Add at Customer's
.
Gyiki$er8` Taken
Yes
4 No
nest
gals. to full load
Comments
min. to 2/3 load
gals. to 1/3 load
r
tames Rep • Water Kdded
NOT RESPONSIBLE FOR
WARNING IRRITATION TO THE SKIN AND EYES
#1 nnnhiONAL WATER ADDED TO THIS
VARIATION IN COLOR OR
Cement polymer or freshly mixed concrete may cause skin Infury. Avoid contact With
akin and wash exposed skin areas prompdywhh water. It any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION
mixture gets into eyes, dose 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
10 10
s
cement products.
Load
. On
I'�
t?Imal
.
t ��/ 3
• #' IT
.
PLANT
103
TICKET#
849883
RDER #
58
TRUCK # OAD SIZE
0174 10. 0
MIX
2500 REB
SLUMP
5.00
E
DATE
10/ 13/ 14
CUSTOMER #
2860
SOLDTO
GULICK CONSTRUCTION CO. INC.
P.O. i
BJ
PROJECT#
11484
DELIVERY ADDRESS
i Island Way
Dr
ZONE#
MARTIN
USE
SLABS
DRIVER
Keith Cintron
INSTRUCTIONS
Jensen
- north of JB Blvd
TIME DUE
10159 AM
LOAD CUMULATIVE
ORDERED ' PRODICTCOUE PRO0IJ(_'1'0;c_'-�f RIPFION
U.O.PVI. UNIT PRICE
AMOUNT
•
QUANTITY
10.00
70.00 80-00 25040000 2500 RES
yd
1.00
'70.00 1.00 FIBERR FIBERS - Residen is
ea
1.00
0.00 ENVIRO ENVIRONMENTAL DI PO
ea
1.00
0.00 2 F EL SURCHARGE
ea
fit^"
ECEIPT
CONCRET AC HAZARD WARNING
• a nc ny w ume e r any promage or any
SUBTOTAL
equlpmerrt damage for liveries beyond the curb Una
TAX
UTHOR¢t3D BY
TOTAL
s
NO.
gait "'ItIOU...:.
1142 Water baler Road, Lake Park FL 33403
Office: 147T-4.k-9094 / Fax: 561-844 0
South East Florida Division DISpatch: 9994 / Central Florida Division Dispatch: 407-339-5311
692672
Concrete Tested ❑ Yes
VhWr LOT #
War AMM at Customer's
Cylinders Taken ❑ Yes
o
equest
to full load
Comments
Igals.
gals. to 213 load
gals. to 1/3 load
PREVIOUS TRUCKa182
m a er
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
AnIMMINAL WATER ADDED TO THIS
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause akin Injury. Avoid contact with
and wash exposed skin areas promptly with water. if any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION
mixture gets Into eyes, rinse Immediately and repeatedly with water and pet prompt
mixture
AND
DURABILITY, ANY WATER ADDED IS
BATCH TIME
medical attention. Keep children away from cement powder and all freshly mixed
cement products.
AT CUSTOMER'S OWN RISK.
To Job On •• Begin POLK Begin Wash
To
Plant At Plant
PLANT
ICUMIRR#
TICKET*
ORDER N
TPP@4VuoADSIZE
MIX
SLUMP
DATE
WMTO
Oct 2ki
*
P.O.hi
OJECTN
DELIM10 ESS
NE
---RTTN
USE
S
DRIVER
Willi— Ring
INST C Illa"d Way
Br
11
DUE
7
ORDLRED
PRODUCI GODE, PRODUCT•AMOUNT
OUANTITY
QUANTITYQUANTITY
10.00 60.00 80.00
25040000 2500 RES
yd
1.00 60.00 1.00
FIBERR FIBERS — Residentia
ea
1.00
.0.00
ENVIRO ENVIRONMENTAL DI PO
ea
1.00
0.00
2 FUEL SURCHARGE
ea
SIGNATURE OR RECEIPT - CONCIIIETE AND ACKINIMER2f°AAENT
OF RD WARNING
_ • pen n m• s5111ty Tor any property oamage or any
aq t ma r and the curb line.
SUB -TOTAL
TAX
AtfrHORIZED BY
S IPMENT BJ ITt NS OURE111011SESIDE. TOTAL
MASCHI,�EIOR
.....
1142 Water Tower Road, Lake Park FL 33403
office:1-877-484-9994 / Fax:561-844-7102
South East Florida Division DlspatcYS61-844-9994 / Central Florida Division Dispatch: 407-339-5311
692670
Concrete Tested ❑ Yes
M V6 LOT #
Water Added at Customer's
Cylinders Taken ❑ Yes
Gt4o
O Request
gals. to full load
Comments
gals. to 2/3 load
gals. to 1/3 load
PREVIOUS TRUCKa2A2
Custom 'p - 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 skirt 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 DURABILITY, ANY WATER ADDED IS
BATCH TIME
medical attention. Keep children away from cement powder and all freshly mixed
cement products.
AT CUSTOMER'S OWN RISK
Load
to Job Oil Job begin Pour Begin Wash
Piaw
At Plant
C1 D,
PLANT
/
E #
TRUCK #
L AD SIZE
MIX
SLUMP
DATE
Cu6MRR #
TO
P.O. •
OJECT#
DELIWOMESS
CNE16 91W•
USE
DRIVER 11484*
J
INST CT
LOAD
QUANTiTY
C U M Ll L AYWb�_O
QUANTITY
R D E R t D
QUANTITY
PRODUCT CODE
PRODUCT DESCRIPTION
U.O.M.
UNIT PmcE:
AMOUNT
10.00
50.00
80.00
25040000
2500 RES.
yd
1.00
50.00
1.00
FIBERR
FIBERS -- Residentia
ea
1.0113
0.00
ENV I 0
ENV I RONM9*AL DI
0
ea
1.00
0.00
2
FUEL SURCHARGE
ea
r
IONATURE
WARNIN
OR RECSIW-
CONCRETE AND ACKN2WDGfMENT
OF MMD
sac
HItAlziiiiiallurne Ilaoilav Tor any propenly darriage or any
for d the curb line.
SUB -TOTAL
TAX
B
'
IMENT SUBJECT70 CONDITYWONE
R
TOTAL,
MASCHMEYER
cANCRETE
COMPANY
OF
FLORIDA,
INC.
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
692669
Concrete Tested ❑ Yes ❑ No LOT #
Water Added at Customers
Request
Cylinders Taken ❑ Yes ❑ No
gals. to full load
Comments
gals. to 2/3 load
gals. to 113 load
DREU TOLIG TRIIICK w
131 Customer's Rep - Water Added
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL WATER ADDED TO THIS
VARIATIONUI COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
skin anIikin areas promptly with water. If any cement powder or
d wash exposed
CONCRETE WILL REDUCE FITS. STRENGTH
SURFACE O�SCOLORATiON mixture gets Into eyes, rinse immediately and repeatedly with water and get prompt
Keep away from cement powder and all freshly mixed
AND OURABILfTY. ANY WATER ADDED IS
BATCH TIME
medical attention. children
cement products.
AT CUSTOMER'S OWN RISK.
Oil Job Begin POW Begin Wash
To Pl;in!
r-
60f:,.1.
PLANT
TICKET•
ORDER 0 TRUCK •
LOAD SIZE
MIX
SLUMP
DA
14
CU R!
TO
P.O.N
OJECT•
DELI
E
USE
DRNER
E DU9
INS C
10.00 40.00 80.00 25040000 2500 RES
yd
1.00 40.00 1.00 FIBERR FIBERS — Residen is ea
1.00
0.00 ENVIRO ENVIRONMENTAL DI PO
ea
1.00
0.00 2 FUEL SURCHARGE
ea
SK�NATURE OR RECEIPT . CONCRETE AND ACK WLEDGEMENT OF HAZARD WARNING
e meyer one9 Company wil, not assume neuilly for any property camage or any
SUB -TOTAL '
pulpmsxst damage for any deliveries beyond the curb line.
.
TAX..
L1P_WE_N BJ C T
A RUM BY
D I E ERE D
TOTAL
MASCHM
ER
CONCRETE COMPANY .FLORIDA,
1142 Water Tower Road, Lake Park FL 33403
Off fee: 1-877-484-9994 / Fax:561-844-7102
South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311
692666
Concrete Tested ❑ Yes N LOT #
Water Added at Customer's
equest
Cylinders Taken El ' �'3
gals. to full load
Comments
ff gals. to 2J3 load
gals. to 1/3 load
NOT RESPONSIBLE FO WARNING IRRITATION TO THE SKIN AND EYES
UStome s MepWater Ad
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR Cement polymer or freshly nixed concrete may cause skin Injury. Avoid contact With
skin and wash exposed skin areas promptly with water. It any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION mixture gets Into ayes, dnse immediately and repeatedly with water and pet prompt
medical attention. Keep children away from cement powder and all freshly mixed
AND DURABILITY. ANY WATER ADDED IS
BATCH TIME
cement products.
AT CUSTOMER'S OWN RISK
Load I Job On Job Begin Pour Bcgin Wash
Al Plant
PLAW
TICKET#
J
LICK #AD
SIZE
SLUMP
DATE
# TO• ■
P.O.#
OJECT#
0 ESS ONE •
USE 0,J
DRIVER
J
RsTaucfbwand Way orJorge
=
DUE
O.M.
• •
10.00 30.00 80.00 25040000 2500 REG=
yd
1.00 30.00 1.00 FIBERR FIBERS — Residentia
ea
1.00 0.00 ENVIRO ENVIRONMENTAL DISPO
ea
Islas 0.00 2 FUEL SURCHARGE
ea
RECEIPT - CONCRETE D ACKNOWLEDGEMENT OF HAZARD WARNING
IGNATURE O MI
NNISonmayeir nc mpany no assumea r any proamape or any
SUB -TOTAL
equipment damage for any deliveries beyond the curb line.
tEV
TAXAUTHORME
;.
EE E SIDE. D BY
TOTAL
AW , 3403
1142VVat
Off ito, I Sak 561-844-I1b2'
toSouth-.1 , 94
"0141sion Dispatch; 561-84,4=9994 Central Florida Division Dispatch: 407-339-5311
.692'661
LOT #
Water Added at customees
sated 0 Yes
GKIO
Request
riders Taken. Olds
nala. to full load
Comments ugals.
to 2/3 load
gals. to 1/3 load
Z
PREVIOUS TRUCKc.181:3:
ustomer's Rep - Water A—dded
RESPONSIBLE, FOR WARNING IRRITATION TO THE SKIN AND.EYES
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR C61`119nt: or or freshly mixed concrete may cause akin Injury: IAvoid contact With
skin an = exposed akin areas promptly with water. If any cementpowder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATIONNmixture getsinto eyes, rinse immediately and repeatedly with water and got prompt
Keep children away from cement powder and all .freshly mixed
AND DURABILITY. ANY WATER ADDED IS
OWN
PTCH TIME
medical attention.
I cement prdducts.
AT CUSTOMER'S RISK.
Lond
To Job 01) Jot) Buyin Poui Elcyill W"''h
I o P1,1111 A! Plant
PUNT
TICKET#
ORDER
TRUCK#
�17&
LOAD SIZE
MIX
PFija@ RES
S
DATE
CLISTOMER*
TO
P.O. N.
PROJECT#
GUM%
r—(1N!;TR1jr—TT0N C - TNr--
I 1AAA
DELIVERY ADDRESS
70NE#
USE
FORIVERMAR'TIN
"
W
Dr
SLABS
Leo Renct
aFMF
I I sUnd
DUE
INSTRUCTIONS
"rT7
LOAD CUMUI.AT1'.'F
OFRI,rRED PRODUCT CODE PRODUCT DESCRIPTION
U.O.M. UNIT PRICE AMOUNT
QUANTITY CUAt�'-i ITY
QUA�4 . TITY
80.00 25040 2500 RES
yd
1.00 20.00 1.00 FIBER FIBERSS Res de dentia
ea
1.
1211., 130 ENV I ENVIRONMENT �DI.SPO
ea
0.00 2 ---EUEL. .
e a
W,
SIGNATURE RR D=IPT - MHU AND jQiMMEDGEMENT OF HAZARD WARNING
1;oncrww yIII not assume Hominy for any propwW damije or Any
SUB -TOTAL
6411jiwhor�t cy"mage for =dAMI.Zes beyond the curb 1ln4L
75NT
TAX
SUBJ15CT TO
AtrFHOREMD BY
-on.
MAL.
1
1142 Water Tower Road, Lakb'Park FL 33403
Office:1-877-484-9994 / Fax:561-844-7102
South Fast Rnrida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311
692659
Concrete Tested ❑Yes
No LOT #
Water A dad at Customers
equest
Cylinders Taken ❑ Yes
No
gals. to full load
Comments
Egals. to 213 load
gals. to 1/3 load
PREVIOUS TRUCK:
Cus meI'sRep - 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
with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
skln a wash exposed skin areas promptly
SURFACE DISCOLORATION mixture gets Into eyes, rinse Immediately and repeatedly with water and get prompt
Keep away from cement powder and all freshly mbted
AND DURABILITY. ANY WATER ADDED IS
OWN RISK.
t3gTCH TIME
medical attention. children
cement products.
AT CUSTOMER'S :
Load
To Job On Begin
PLANV
TICKET#
OmoM # TRUCK
OAD-SIZE
Mix
SUMP
DATE
CUSTOMER #
SOLDTO
P.O. N
PROJECT#
DELIVERY ADDRESS
Z NE#
USE
DRIVER
E DUE
INSTRUCTIONS
e,
ORDERED PRODUCTes
0. M. UNIT PRICE
AMOUNT
QUANTiTY OUANTITY
i •
10.00 10.00 80.00 2504000 00 R
y d
1.00 10.00 1.00 FIBERR FIBERS— Re ident is
I
ea
1.1210
0.00 ENV I RO V I RONM AL DI O
ea
1.00
0.00 2 EL HARGE
r
ea
' SIGNATURE OR ECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING
as mayor cram company NO not assume 11abliny TxW any pruplity damage or any
equipment damage for any deliveries beyond the curb line.
SUB -TOTAL
TAX
By
A
TOTAL
S E SUBJE