HomeMy WebLinkAboutCemex InvoiceI
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Customer Code: Customer Name:
Customer Job Number: Order Code,/ Date:
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oject clName. -Project P,O. Number. "Order P.O. Number.
Ticket Date Date:— Delivery Address: Map Page: MaplRow/Column:
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,�4 pilivery Instructions: j Dispatchert
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Ticket Number:
3 -31 .21131 2 6 4 Ell
Due On Job:
Slump:
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Truck Number:
Driver Number:
Driver Name:
End Use:
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1( 300 r:-,
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QUANTITY QUANTITY TITY, UOM UNIT PRICE AMOUNT
LOAD CUMULATIVE 'ORDERIED _MATERIAI� CODE.
Q QUAN PRODUCTION DESCRIPTION
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SEP 3 Fm 1 2'� 4 ;1
St. 'a.
.61
Cash Check # Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATER ADDED: GAL- YARDS IN DRUM:
WHEN ADDED:'.,
.,
SIGNATURE
-LINE CURB CROSSED(AT OWNER 'S/AGENT'6REQUEST.
SIGNATURE
LI LOAD WAS TESTED BY:'
' Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added I , s at'cu st6�iq'rsown risk. If water is added on job, -concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: 'Product may cause skin and/or eye.irritation. CAUTION: Material
terms of sale and delivery and accepts, concrete as is. Due, to important factors which are out of our may be hazardous to your safety, and health. Please'refer to the backside of this ticket for important
control after delivery, this Company will not accept apy responsibility for the finished results. No credit for safety handling infi:gVion, and to the.material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims sh61J,be deemed waived unless made to us in writing AUTHORIZED SIGNATURE A
within one business day after the receipt of materials.'
68UNIVERSAL F IF'
This Delivery Ticket incorporates herein by reference Buyer's previously execrated Credit Application, if any, Seller's Stand _
Terms and Conditions, Seller's Qktotati f any, and Seller's Order Conf rmation ( rding limitations of warranties), as if fti y
set forth on this Delivery Ticket ("'Agre___nt"). Seller will provide the Standard Ter nd C:onditions upon request. Bayer agr:;:es
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the,Agr:eement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY AS
Aggregate; products are naturally occurring, materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (T5pc IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products,i.neh.ding limestone, dolonriPr, Granite, volcanic rock, sand, gravel, and
other :siliceous materials. These products. including fly ash, may contain more than 0.0251{ :,rysta.11ine silica.
Hazards: Freshly mixed wet cement and/or fly ash can Ause eye irritation, ski,. s.-id eye burns and allergic skin reactions.
Dry t� )ncrete and aggre„-ate dust may cause irritation "to eyes, skin.:oi(hc;:-esr�iratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which tray ,'_. 'se silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amounts of watei . Fly Ash s;`:y contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after hzridling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-aid �.f:ved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 1.5 minutes. If dust .is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention .if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gcssner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For rnore information please visit www.cemexusa.com.
Este ticket de entrega incl.uye Como referencia al. comprador (ya previ.amente ejecutada en su apt.icac:i6n die credito): cualqu:ier
termi.no estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendc:-dci- (coil lirnitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los tertninos, estanOar'e s, y cof uliciones detal-
l.ados en caso de asf ser req.ueridos. Con este documento, ei. comprador acepta los mismos ya antes mcncion i(!,,4 v u o ius cantidades
y materiales fueron entregados como se expresa en el m.ismo. Acepta pagar el monto de acuerdo al centratr : pue se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENI,ZAS V OLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca"volcan.ica, arena,.grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azrziejo de
azotea y estuco. Los productos de concreto incluyen. cemento Portland y productos de agregados como p,edra caliza, dolotn.ita,
granite, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la Mai puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritati6n en los Ojos, quc nraduras en piel y ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci,in en Jos Ojos, pie] y/o en
la zone respiratoria. Polvo del .manejo en el trituram.iento, pulido, Corte y/o perf'oraci6n puede contener materiales
silicas, .los cuales pueden causar silicosis pulmonar y cancer s:i son inhalados. En caso de ser ingeridos, mantenersc°
en temperature cdlida, reposar y tomargrandes cantidades de agua. Las cenizas volantes pueden contener arnoriwco.
Se uridad• La humedad puede causar ]a liberaci6n del arnoniaco. La inhalacion del amoniaco puede causar toser. i.rritaci6n o
g quernaduras en .la nariz, garganta y pulmones. Acudir .inmediatamente al medico. El riesgo en la salud depend-, en
la duraci6n y el nivel de la exposici6n.
Seguri.dad: Evite el contacto con ojos y contacto prolongado con la pie]. Use guantes, protecci6n en los y ropa
Primeros adecuada para protecci6n. Liivese .'gas manos con jab6n suave y agua despu6s del manejo de materiales. ,'A : te. inlialar
auxilios: polvos. Si se expone a polvos inns de los limiter recomendados, use protecci6n respiratoria.
Primeros aux.ilios: En caso de contacto en los ojos, inmediatamente fluya agua on la pane afectada por• I.Ji minutos.
Si se inhala polvo, exp6ngasc a aire fresco. Si el cemento fresco ti.ene contacto con sus Ojos, lavelos a Tondo con
agua. Acuda a atenci6n medica inmediatamente si la irritati6n contintia.
CEMEX, Memorial Hermann Tower
929 Gessner. Suite 1900
V7 combinado Houston. Terms 77024
02/12 Para aids informaci6n visita www.cernexu,a corn.