HomeMy WebLinkAboutCemex InvoiceThis Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati if any, and Seller's Order Confirmation (i ding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agre__nt"). Seller will provide the Standard Teri... 4nd Conditions upon request. Buyer agrees
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 Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
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 (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including .limestone, dolomite, granite, volcanic rock, sand, gravel, arid,
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cagy eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irr, )n to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may ntain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may 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 handling. Avoid breathing. dust. If. exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 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 Gessner, Suite 1900 _
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye Como referencia at comprador (ya prev.iamente ejecutada en su aplicacion de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmacion del"vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los terminos estdndares y cond.iciones detal-
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los .mismos ya antes mencionados y que has cantidades
y materiales fueron entregados coma se expresa en el mismo. Acepta pagar el monto de acuerdo at contacto; at menos que se identi-
fique con una nota a] frente de este documento.
AGREGADUS / CEMENTO / YKUllUC TON DE UUNUKETO / UENIZA5 VULANFES
Los productos do agregados son materiales naturaley como piedra caliza, dolon- ita, granito, rota volcanica, arena, gravy y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo .Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados coma piedra caliza, dolomita,
granito, rota volcanica, arena, grava, y otros materiales silicios. Estos productos incluyeit cenizas volantes.(fly,ash)'la dual puede
contener mas de 0,025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en los ojos. quemaduras en piel y Ojos, y
reacciones alergicas en la pie]. Concreto secoy polvo de agregados, pueden causar irritacion en los Ojos, piel y/o e'n
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o pertoracion puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cancer A son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad:
La humedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede causar toner, irritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente at medico. El riesgo en la salud depende en
la duracion y el nivel de la exposicion.
Seguridad: Evite el. contacto con ojos y contacto prolongado con la pie]_ Use guantes, proteccion en los ojos y ropy
Primeros adecuaada Para proteccion. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos unas de los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pane afectada..por 1.5 minutos. ,
Si se inhala polvo, expongase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con .
agua. Acuda a atencion medica imnediatamente si la irritacion continua.
CEMEX. Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado 14ouston, Texas 77024
02/12 Para mas informacion visita www.cemexusa.com.
Plants
Begtri Loadings
To Jobs`
Arrive Job
Start`Unload
FIn)sh Unload
.'Leave xJob
etunP tin'
Customer Code: Customer Name: ' Customer Job Number. : Order Code / Date:
,i Ca7 E�3F`' REA T`t HOMES INC l059 i_)�,d�:)�3J 1•
i
_a ...
projeeE Code ,'Project Name � r Pro/ect P O.,Number order P O Number "
r
r �4
�.H
Ticket Date Delivery Address. Map Page, Map/Row/Column:
cis 1-i,)61"13:
Delivery Instructions m t Dispatcher
f tT'a s r °'T ,ciE Lt I a�I IHW Ticket Number:
a :7 c:.'..1P 4 53
Trd
Due On Job:
9pn.t-t Slump: � a'tFl( ) ck Number:
t..... 3 tDsi. Number .Driver N.
- End Use: L.L: NG a WALL VIA L Ei
LOAD CUMULATIVE ORDERED QUANTITY QUANTITY QUANTITY , MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
I,.` ,i ,i3tica, "�tt�,"�• CMG` °�
3
t ,v f. ... r..X
l
2 t8;18; FUEL: SURCHARGE
i 27 9 ENVIRONMENTAL CHARGE v
Cash Check # / Auth Code: - Signature of Driver Receiving Cash: Cas eceiv d: Total COD Order Amount to Collect
Without Standby Charges: .
r Check f
•
Charge
Comments. ER
T ADD , 1NA E�; � �AL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
`C' R)^INE CROSSED AT OWNER'S/AGENT'S REQUEST: fly ..
SIGNATURE "• ,
)ti /CAD�Wi7 �Ea�6ED BY:
I, Notice: Our drivers will make every, effort to, place materials where the customer desighat es, At the SPECIAL ER' 3 Arr�, w 1er added is at customers own 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 Ion er gu anted. t»�ARNING: 'Product may cause skin and/or eye irritation. CAUTION: Material
terms of sale grid delivery and accepts concrete as is. Due to important factors which,are�ou of our may b hazar ou tp�youydsafety and health. Please refer to the backside of this ticket for important
control after delivery„this Company will not accept any responsibility for the finished results: o cfredit safety andling infgtmatiop, and to the ;material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to uVin'writing AUTHORIZED SIGNATURE:
within one business'dayafter the receipiof,materials.' }_+�•_4_�. �, Ae O
68UNIVERSAL f - PREY TRK 2 t�)t;)LOAD
:L c..: 21t INVOICE L OAD NUM a 3.
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati( F any, and .Seller's Order Confirmation (il ling limitations of warranties), as if fully
set forth on this Delivery Ticket ("AgreL— at" ). Seller will provide the Standard Tern.., ,..id Conditions upon request. Btlyer agrees
that, unless otherwise noted on the froth hereof, all quantities and .items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
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 (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, grantee; volcanic rock, sand, gravel, and'
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may 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 handling, Avoid breathing dust.. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with :flowing water for 15 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 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit LKy w.cemexusa.com.
Este ticket de entrega incluve Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de crddito); cualquier
tdrmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confinnaci6n del vendedor (con limitaciones y
garantfas). Como acuerdo total del ticket de entrega ("Contrato" ). El vendedor proveera los tdrminos estandares y condiciones detal-
laclos en caso d.e asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que ]as cantidades
y materiales fueron entregados coma se expresa en el mismo.Acepta pagar el monto de acuerdo al Contrato; al menos que se identi-
fique con una nota al f'rente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, gravy y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, roca volcanica, arena, grava, y otros materiales silicios. Estos.produetos inc]ityen cenizas volantes (fly>ash)'la E4 puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6❑ en los Ojos, quemaduras en piel y ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, carte y/o perforaci6n puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura cdlida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La hum.edad puede causar la liberaci6n del amoniaco. La inhalaci.6n del amoniaco puede causar toser. i.rritaci6n o
quernaduras en la nariz, garganta y pulmones: Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Lavese las mans con jab6n suave y agua despuds del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mas de Jos limiter recomendados, use protecci6n respiratoria.
Primeros auxilios: Eli caso de contacto en Ios ojos, i.nmediatamentef7uya•agua en la pane afectada por 1.5,minutos.
Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con'
agua. Aeuda a atenei6n mddica imnediatarnente.si la irritaci6n continda. _ ... .
CHMEX. Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para rnas informaci6n visita www.cemexusa.com.
xZ .
CCMEX 557 9 85.
I?lant
Begiii'Loading,
To Job:
Arrtve.Job
Start Unload:;:
Fintsh Unload
'leave Jobs
�Ret 'rnl'lantR
Customer'Code:' 'CustorrerNamei ,
Customer Job' Number:
Order Code/Date:
"o 1 i' 7 79 1 REALTY HOkES
I Nr—
1059 08/08! 1
;P"rolectCode`ProjectName �
P..umberderO;nberProtectP._
f
W(My
Ticket Date: Delivery Address: :.
Map Page: Map/Row/Column:
Aeliuery InstmcElons
71
Dispatcher
4 u"TIMI 1 N
SMW I I iamSon
RT,H
„a.:�
�
j
Ticket'Number.Tf.Ir
Due On Job: "
Slump:
Truck Number:;
Driver Number:~•
Driver Name:
End Use:
e �'t
; l t 3.=.�'c �
� 1 {.b9- 20�.
Jot�r�ra�r� ��r MPSON.
B�._DNG d I.�Jf�LL.
LOAD i CUMULATIVE ORDERED MATERIAL CODE PRODUCTION, DESCRIPTION UOM UNITPRICE AMOUNT
QUANTITY QUANTITY QUANTITY
x •a.�A. S i 1 r.-
t
2
z ,
Cash Check # / Auth Co'e: Signature of Driver Receiving Cash: a Cash Received`. Total COD Order Amount to Collect
." Without, Standby Charges:
Check
Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:.
tWHEN ADDED:'
IGNA`EURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:.
SIGNATURE
❑-.LOAD WAS TESTED BY:
4
Notice: Our drivers will make every effort to place materials where the customer desigrfates, but the SPECIAL TERMS: -4y water added'is at -customers ownaisk. 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. CAUTIONr.Material
terms of sale and delivery and accepts concrete as is. Due to important factors.which are ouG,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 any responsibility for the finished results. No credit for safetyhandling information, and to the material'safety data sheets for additional inform; ofi
returned concrete. Buyers exceptions and claims shall be deemed waived unless made. to us in wriiiHg' AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. O
686NIVERSAL F�fdE�tJ TRK 0 1 C��:} '?Er y INVOICE ' L Qua• f,14�M e E'
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati f any, and Seller's Order Confirmation (i ding limitations of warranties), as�iffully
set forth on this Delivery Ticket ("Agre--ilt"). Seller will provide the Standard Tern-, -.id Conditions upon request. Buyer agrees
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 Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
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 (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and,l
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. '{
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warn, at rest, and drink large amounts of water. Fly Ash may 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 handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 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 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.eemexusa.corn.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada,en su aplicaci.on de credi.to); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y
garantfas). como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones detal-
lados en caso de asf ser requeridos. Con este documento, el. comprador acepta los mismos ya antes mencionados y que ]as cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo 1P), azulejo de
azotea y estuco. L OS productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, coca volcanica, arena, grava,,y otros materiales silicios. Est(.)s jn•od.uctos incluyen cenizas'vol.antes (fly -ash) la coal puede
contener alas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritation en Jos Ojos, quemaduras en pie[ y ojos, y
reacciones alergicas en la pie]. Concreto seco y polvo de agregados, pueden causar irritation en Jos ojos. piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforaci6n puede contener materiales
silicos, Los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberation del amoniaco. La inhalaci6n del amoniaco puede causar toner, irritaci6n o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en Jos ojos y ropa
Primeros adecuada Para protecci6n. Lavese ]as manor con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protection respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15-minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con '.
agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston. Texas 77024
02/12 Para mas informaci6n visita Nyww.cemexusa.com.
CEMEX
` Plar
Begin`Loading; °
:>To Job:'
Arrlve Job .
„'Start Unload:'
Fiitsh Unload h
{Leave Jab "etrrt
Plant'. ;
rimer=.t Iti"
Customer Cotle'7'791,dustome'Nam rNITX REALTY'.
FICiE'*1ESG IW'C
Customer Job Number:
OrderCoiPffaife 0E3i f.tEl"II
Project Name
Project P;O. Number.
¢I
Order P 0.1�lumber ' 1 ,
j Ticket Date )8.7 Ea Delivery Address `I I -
Map Page: Map/Row/Column:
l Deliveryllnsfuobons } �I „a II.# 1T ;L € {w
Dispatcher; llr a z 21t 57 F<
! ffi �i Alt NOR" P $ TI-I I I I` i Al ' B LI M'
ON SHE
$ {
Ticket Number
r
,
E 32:23556 -
. w 3 ,
Due On Jobe, ° `-"' Slump: 34 TFuck Ndmbervr� J 4'b�iver N6A07 �CO DriverNalnne's vt 1 I: l'et-iiV End Use:
LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY r •QUANTITY : QUANTITY
_ro � u� :.. .• .:f en � : � €-.�i#tWG... iJ M�ti.�+-? WI•. V. `f 6"�..1 - _. - -_"
F '
Y 4 t v'i .. 'f •
AN a
4 1 0: ,
` r
r . .
Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
„
Without Standby Charges:
Check
Charge
Comments: '
WATER ADDED:. GAL y YARDS IN DRUM:
WHEN ADDED.
SIGNATURE '
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
u
• SIGNATURE
❑ LOAD 1AS TESTED ,BY: s
Notice:. Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERks: Any water a ded is at customers own 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 rWARNING: 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 hazardous9to?your safety and health. Please refer to_ the backside of this ,ticket for important
control` after delivery, this Company will not accept any responsibility for the finished results. , No credit for safety handling;lnformatign, and to the material safety data sheets for additional information.
retumad concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE;
within one business day after the receipt of materials. O ! • t
r7 C:'f "r'rlfi r
68UNIVERSAL INVOICE t
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Qu 'on, if any, and Seller's Order Confirmati. ncluding limitations of. warranties), as, if fully
set forth on this Delivery Ticket ement" ). Seller will provide the Standard _ __ms and Conditions upon request. Buyer agrees
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 Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
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 (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may 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 handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 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 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confinnaci6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los ter-minos estandares y condiciones detal-
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contacto; al menos que se identi-
fique con Una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cernento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a cual puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o pel.foraci6n puede contener materiales
siliicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
quemaduras en .la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposition.
Seguridad: Eviite el contacto con ojos y contacto p.rolongado con la piel. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Lavese las manor con jab6n suave y agua despues del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, i.nmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informaci6n visita www.cemexusa..com.
- IF
� I
. Ccmax 559 7109
Plant:
Begin Loading:
To Job: °
Arriw.lob:
°,Start Unload:
Finish,Unioad:
Leave,Job:
Return Plant: •.
092� I.
Customer �odeTr 1 Cus�omre{r am� � REALTY HOMESINC Custo� �ObNfm ears/—r 872 Ord SC,5�•/Date: 12i32r 1r
Project.Coda: 7Rfoject Name: p ProjectP O Number Order P'Q1'Nyrobert
TickelDater f} 2 fr 13 Delively� d�lless: N Al A � { � Map Page: Map/Row/Column:
Delf i IrlstT-ct'no I DE' N HUTCRI SC N I SLt`�4� D JUST 'NORTH RTH OF G�UEEN' 6 COVEDispat�l5rH AJC 1''` " >
a • •�. - Ticket Number ,
32899,508
I
Due OrlJOb Slump: a 50 TrugNgTRa32 15 Driver Nuaib�r y Driv N tn�g.�N'Y{ J I r�I �SC��I End Use: Lt3C iG a WALL
LOAD. CUMULATIVE ORDERED
QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
DEC 2 Pm i2:03
1 n oo 1247818 FUEL SURCHARGE
1„ 00 :1202749 ENVIRONMENTAL CHARGE
I., c ()° 1,554605 MINIMUM CHARGEv 1._ESS THA
Cash, Check # /Auth Cos? Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge
Comments: A'
WATER DDED: q GAL YARDS IN DRUM:
// T
WHEN ADDED.
SIGNATURE
/0/6/RB LINE CROSSED AT-OWNER'S/AGENT'S REQUEST:
. Gr •
SIGNATURE
❑ 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 is at customers own risk. If water is added on job, concrete strength
Companytassumes no responsibility for damages inside curb or property line. Customer agrees tc 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 any responsibility for the finished results: 'No credit for safety handling information, and to the material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. n
68UNIVERSAL INVOICE