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5-7822472
RECEIVED MAY 2 81015
Plant:
Begin Loading:
Tti Jobs'
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
l
Customer Code:
Customer Name:
Customer Job Number:
Order Code / Date:
31 o760,G
MEL -R Y COMET RUCT I ON
7 t 5
783 0 5o E, 81.5
I Project Code:
, PioJect Name:
Project P.O. Number:
Order P.O. Number
„
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column;
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Delivery Instructions:
,
Dispatcher.
s
Ticket Number:
1
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375-1795
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LOAD
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
1t�A tytl
r„3,'t:.1c,:/ t3, t:�t> a
::a:,t;00 RCr
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Due On Job:
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Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
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J Cash
] Check
Charge
Comments:
< ° 1202749 't~FV _T, i?'ONMEWML i.4-fARCE
Check # /Auth Code: I Signature of Driver Receiving Cash:
I:ONL:RETC I)SS%'OSAi_ Fes!~
PAR
WATER ADDED:
t
r
Cash Received: .Total COD Order Amount to Collect
Without Standby Charges:
GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
(
"fiAlA FULL LOAD _ YARDS SIGNATURE
��� �v ❑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
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 any responsibility for the finished results. No credit for safety handling information, and to the mssssss@fety data sheets for additional Information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIpIJf1FURE:
•. within one business day after the receipt of materials.
68UNIVERSALV ! 10022607 LOAD NUM: 2
INVOICE
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's. - )tation, .if any, and Seller's Order Confi.r. ' :)n (including limitations of warranties), as if fully
set forth on this Delivery Ticke Lgreement"). Seller will provide the Stani Terms 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 lgrem 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 ;incl,udePortland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products includi� imestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may c6liain 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, ]seep 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. comp.rador (ya previamente ejecutada en su ap.licac.i6n de cr6dito); cualquier
t6rmino 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 t6rminos estandares y condiciones detal-
lados en caso de asf ser requeridos. Con este docum.ento, el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el m.ismo. Acepta pagar el .monto de acuerdo al contrcto; al menos que se identi-
fique con una nota al frente de este doeumento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, d.olomita, granito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albahilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
g.ranito, roca volcanica, arena, gra.va, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) .la 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, qu.emaduras en piel y ojos, y
reacciones al6rgicas 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, corte y/o perforaci6n puede contener materiales
siliccos, los cuales pueden causar silicosis pulmonar y cancer s.i son inhalados. En caso de ser ingeridos, mantenerse
en temperatura edlida, 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 toner, irritaci6n o
quemaduras en ]a nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposiei6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guan.tes, protecci6n en los ojos y ropa
Primeros adecuada Para protecci6n. Lavese las 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 protecc16n respiratoria.
P.rimeros 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 m6dica inmediatamente si ]a irritaci6n contin6a.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informaci6n visita www.cemexusa.com.
,. � ccmcx
57822472
Plant:
Begin Loading;
16 Job
Arrive Job:
Start Unload:
Finish Unload:
Leave Job: Y
5 Return Plant:,
Customer Code:
Customer Name:
Customer Job Number:
Order Code /bate:
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MEL--it't' C&-,!C.iT�tt'Lti.,..t..10N
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Project Code:
Project Name:
Project P.O. Number. LL
Order P.O. Number.
LOB f' fcSa VENT.a.Jl't
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column:
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,Delivery Instructions:
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Ticket Number:
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Due On
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LOAD
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
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PRODUCTION DESCRIPTION
UOM
UNIT PRICE
`AMOUNT
k) i t..7 e I bi":+ 1152 a�
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Truck Number:
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Driver Name;
End Use:
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Cash Check.# (Ruth Code:. Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge
Comments:
WATER ADDED:
YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
- CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
PI^lr;'riA6_. f^c 9L?... I._CJf-kJ..% YAFiD?::i SIGNATURE
��_.._ _'.._•.-__•_ ���� El 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
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 any responsibility for the finished results. No credit for safety handling information, and to the ma erial-safety data sheets for additional information.
.returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us In writing AUTHORIZED SI NATJUR�Ej:Q
within one business day after the receipt of materials. O
68UNIVERSAL PfaEV '1'EZKs LW22 607 /J LOAD?'.?LJ�`?n
CUSTOMER' ( 1
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller'; utati.on, .if any, and Seller's Order Confir on (including limitations of warranties), as if fully
set forth on this Delivery Tick( agreement"). Seller will provide the Stan _ Terms 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 l CEMENTV 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 includirr*imestone, dolomite', granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may c6Main .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 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 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexu.sa.com.
Este ticket de entrega incl.uye como referencia al. cornprador.(ya previamente ejecutada en su aplicaci6n de crddito); cualquier
t6rmino 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 proveerh los t6rminos estandares y condiciones detal-
lados en caso de asf ser .requeridos. Con este documento, el co.mprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en e.1 m.ismo. Acepta pagar el monto de acuerdo at contaato; at menos que se identi.-
fique con una nota at 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 cemento incluyen Cemento de tipo Portland, de albabilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dol.o.mita,
gran.ito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) .la coal puede
contener mas de 0.025% de s.ilicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en Piet y ojos, y
reacciones al6rgicas en la Piet. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, Piet y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulid.o, corte y/o per.•foraci6n puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cducer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grandes cantidades de aqua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
quemad.uras en .la nariz, garganta y pul.mones. Acudir .inmediatamente at medico. El. riesgo en la salucl depende en
la duraci6n y el nivel do la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con .la Piet. Use guantes, protecci6n en los ojos y ropa
Prim' eros adecuada Para protecci6n. Lavese las manos con lab6n suave y agua despu6s 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.nmediatam.ente fluya agua en .la parte afectada por 15 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene-6ontacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. '
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1.900
V7 combinado Houston., Texas 77024
02/12 Para mars informaci6n visita www.ceinexusa..com.
9'
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CCMEX
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57822466
Plant:
'Begin Loadiri
g• g
To Job::;
`. Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
,= = 0 _
Customer Code: Customer Name: Customer Job Number. Order Code•/ Date:
ir@ ....1_.q-•- ... . a
project Code: roject Name: Project P.O.: Number: Ordye�•r P.O. Nummber. (( �99
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
iR
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Delivery Instructlons: B Dispatcher: f
J, T--_ I'l -s E, I BEAC Ht LLily-%i4EL
Ticke lumber:
33737451
,Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
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LOAD
QUANTITY a
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
I Ca. 0
i 1). 00 1 7,.S:20
1152539
3000 PEG
�w
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V 28
4.a {./t_I
I.cC.'" 1 8iS
FUEL SURCHARGE
1. a 00
1 25.>274r-_$
ENVIRONMENTAL CHARGE
k
Cash Check # /Auth Code: Signature of river 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
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
:ONCRET r;. DIr,..t'POSIAL FEE SIGNATURE
PARTIAL T___ FULL L OOD _ YARDS ❑ 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
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guarantee � WARNING: Product may cause skin and/or eye imitation. 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 y ur safety and eaalth. 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 infortnaij6n, and to the att'r7al safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:,, 1
within one business day after the receipt of materials. O ' p J
68UNIVERSAL PREY TRK G
INVOICE
LOAD M!URt n I
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's :at.ion, .if any, and Seller's Order Confirm n (including limitations of. warranties), as if fully
set forth on this Delivery Ticket -greement"). Seller will provide the Stand erms 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 , grees-to
pay in accordance with the Agreement.ez
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 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 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 cr6dito); cualquier
t6rmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y
garanifas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6rminos 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 on el mismo. Acepta pagar el monto de acuerdo at contrcto; at menos que se identi-
fique con Una nota at 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 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 productos .incluyen cenizas volantes (fly ash) la 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 on piel y ojos, y
reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci611 en los ojos. piel y/o en
la zona respiratoria. Polvo del. m.anejo en el trituramiento, pulido, cone y/o perforaci6n puede contener materiales
siliccos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura edlida, reposar y tomar grander 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 ]a nariz, garganta y pulmones. Acudir .inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Ev.ite el. contacto con ojos y contacto p.rolongad.o con la piel.. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Lavese jas manos 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 protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmed.iatam.ente fluya agua en ]a parte afectada por 1.5 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 m6dica imnediatamente si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informaci6n visita www.cernexusapgm.
�� ccmcx
plant:
Begin Loading:
To Job: ;
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
Customer Name::
Customer Job Number:
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Pro/ect P.O. Number:
Ticket Date:
Delivery Address:
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DelNeryInstnictlons:
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Order Code / Date:
/'rderP:O. Number#
Map Page. Map/Row/Column:
Dispatcher:
TI kt#rNun heir' ,7. NECl
I Due On Job:
Slump:
Truck Number:
Driver Number:
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Driver Name:
End Use:
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r `:a`a
T 1 1, V r.1 Tf-L?
C!f T:hli^ „ f"1 nT..'1
LOAD
QUANTITY
CUMULATIVE I
QUANTITY
ORDERED
QUANTITY
AMATERIAL CODE
PRODUCTION DESCRIPTION'
UOM
UNIT PRICE
41 AMOUNT
1
0«}5.
17. 0
5853 R E G �
,l•�+..,! i
iI
3..` 01 ("i
P,41.,RONME:=ITTRiL, Tl HARG3E
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 YARDS IN DRUM:
WHEN ADDED.
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE I
14 SIGNATURE
Ft-JLL_ i-_OAD VK Y f- RDS ElLOAD WAS TESTED BY:
Notice: Our'drivert will make every effort to place materials where the customer designates; but the SPECIAL TERMS: Qrly water 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 longer guarantied. 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 yo r safety and F alth. Please refer to the backside of this ticket for important
oontrol after delivery, his Company will not accept any responsibility for the finished results. No credit for safety handling infcrmati n, and to the mates I safety data sheets for additional information.
returned concrete. Byers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATlRE:
within one business cl� after the receipt of materials.
b �v
68UNIVERSAL i' REV T ail.' CUSTOMER 1_.i"J�') •P,�i_ M ° ; �'
This Delivery Ticket i ' refer nce IPpyer's previously exeented Credit Application, if any, Seller's Standard
Terms and Conditions Seib°r`�ta� je tionbif and Seller's Order Confinr n (including limitations of w:uranties), as if fully
set forth on this Deliver Ticke )• Seller will provide the Stan&.— .'erms and Conditions upon request. Buyer agrees
y < <�gre ereof, all quantities and items were delivered as indicated and further expressly agrees`to
that, unless otherwise noted on the nt.
pay in accordance with the Aa
ATE / CEMENT / CON ETE PRODUCTS / FLY ASH
Aggregate prr,�t5 are naturally occurring materials i.nclud.ing 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. I
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. bust 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 comp referencia al comprador (ya previamente ejecutada en su aplicacion de crddito); cualquier
tdrmino 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 las canticlades
y materiales fueron entregados como se expresa en e.1 mismo. Acepta pagar el monto de acuerdo al contaato; al menos que se identi-
fique con una nota a] 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 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,
grranito, roca volcanica, arena, Brava, y otros materiales silicios. Estos productos�incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio cristalino.
Pelil r. os: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, qu.cmaduras en piel y Ojos, y
reacciones alezgicas en la piel. Conereto seco y polvo de agregados, pueden causar irritacion en Jos Ojos, pie] y/o en
la zona respiratoria. Polvo del..m.anejo en el t.rituramiento, pulido, corte y/o per.•foraci6n puede contener materiales
silicos, Jos cuales pueden causar silicosis pulmonar y cancer s.i 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 toner, irritacion o
quemaduras en ]a nariz, garganta y pulmones. Acudir inmediatamente al. medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Ev.ite el contacto con ojos y contacto prolongado con .la piel. Use guantes, protecci6n en los Ojos y ro.pa
Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas do los limites recomendados, use protecci6n 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 airs fresco. Si el cemento fresco tiene contacto con sus Ojos, ldvelos a fondo con
agua. Acuda a atenci6n mddica inmediatamente si la irritacion continda.
CEMEX, Memorial. Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston., Texas 77024
02/12 Para mas informa.ci6n visita www.cemexusa.com.
CEMEX
57723400
4'+
r t -
Plant:
Begin Loading:
To Job:
Ar a Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
090/
Customer Code:
Customer Name:
3- 1.07G06
M .L-RY C'ONS TRE..1C: T i Ol-,(
Project Code:
Project Name:
Ticket Date:
DeliveryAddress:
i?•r`/,-D 15
a 1 7
E._.t �".... ".Y >y'Jy �f .E`�E 1•'I..J fey i", fi 1 L
Delivery Instructions:
1wI'.Iy�kL:..�iE`E
Customer Job Number: Order Code / Date:
Ell ;r_G 05,1 7! 15
Project P.O. Number: Order P.O. Number:
NO PO'
Map Page: Map/Row/Column;
Dispatcher:
Ticket Number:
33725311.1
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
-T
End Use:
;'r (f'
11.'°(_je_'"?�i�
j.(a�1(`C'S
l: ' ','_ ;`'!.E ;r
r;i;; '=E_f!a'a
LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
r^+• ram.• r-,�••-,r,• r•
bo. 1:50 1C N „fit 10 51 i.1..=r,•._/:,.� !.1f:C.) �2r._Ci 't°t'3
MAY 7 pit 1P58
i 247t 1 a FLIEL SURCHARGE'
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
L CURB E CROSSED AT OWNER'S/AGENT'S REQUEST:
i:ICtNCRE iE I'+1:SE"='O:: PIL ?'GE
r"1; SAL !"L'LL LOAD 1�trtRUF3
-" - -- ❑ 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 a1
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Poi
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 ea
control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the ate
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. O
68UNIVERSAL r-rREY 'i RK o
INVOICE
SIGNATURE
risk. If w ter adde n job, concrete strength
ski a c or�eirti ation. CAUTION: Material
rer �Fje ¢eckside of this ticket for important
eets,{{or/fdditional
information.
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quot [, if any, and Seller's Order Confirmatio audirig limitations of wa*antiestl, as if fully
set forth on this Delivery Ticket ("A€ lent"). Seller will provide the Standard 'I ; and Conditions upon request. Vbyer.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 burs 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 infonnation please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicacion de credito); cualquier
termino estindar, condiciones del vendedor., propuestas del vendedor y orden de confi.rmac.ion del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los tonninos estdndares 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 contaato; al menos que se identi-
fique con una rota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS-VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, 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 volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual 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 piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, Corte y/o perforacion puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y car.icer si son inhalados. En caso de ser ingeridos, mantenerse
en temperature cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
La humedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede causar toser, irritacion o
Seguridad: quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al 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 piel. Use guantes, proteccion en los ojos y ropa
Primeros adecuada para proteccion. Lavese ]as manos con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informacion visita www.cemexusa.com.
4 Aja'
CCMC-X
V
57723400
Plant:
Begin Loading:
To Job:
Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
Customer Name:
"'7 ii'-
r R J C'T 10
Project Code:
Project Name:
Ticket Date:,
Delivery Address:
7,
Delivery Instructions:
Customer Job Number: Order Code I Date:
Project P.O. Number: Order P.O. Number.,
N, kl) r-117" 1
Map Page: Map/Row/Colijrn'r`.,
Dispatcher:
Ticket Number:
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
4'.
Irk
LOAD
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
5,
IV 7P -ti
J.-
ZI'D
E. N"V -V 'kr)"NIj
-N T'N'
Cash Cheek#/ Auth Code: Signature of Driver Receiving Cash:
Check
Total COD Order Amount to Collect
Without Standby Charges:
Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CUR13CLIME CROSSED AT OWNER'S/AGENT'S REQUEST~
SIGNATURE,
0 LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but thii SPECIAL TERMS: Any water added is a u stome s ow risk. If aler sadde& n job, concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed WARNING, Pod ct ma se
a i an4)or ye itntation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important factors which are but of our may be hazardous to your safety and ea t .. as re 4 e ckside 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 th ate ial a ate t fo dditional 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.
68UNIVERSAL CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quot i, if any, and Seller's Order Confirmatio 1uding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Al ient"). Seller will provide the Standard 'I ; and Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as :indicated and furkther expressly agrees to ;
pay in accordance with the Agreement. y
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, masgury, pozzo.lan. (Type IP), roof tile, and stueco. 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 refe.rencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmac.i6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los tenninos 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 entregad.os 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 /
/ PRODUCTOS DE CONCRETO / CENILAS VOLANTES
Los productos de agregados son materiales .naturaley como piedra caliza, dolomita, granito, coca volcanica, arena, grava 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, rota volcanica, arena, Brava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicoo cristal.ino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en piel y ojos, y
reactions alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforation puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cancer si. son inbalados. En caso de se.r..ingeridos, mantenerse
en temperature calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o
quemaduras en ]a nariz, garganta y pulmones. Acudir .inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposition.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa
Primeros adecuada para proteccion. Lavese ]as mans con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a po.lvos mas delos limites recomendados, use proteccion 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 a.ire fresco. Si el cemento fresco tiene contacto con sus ojos, l.dvel.os a fondo con
agua. Acuda a atenci6n medica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 7702-4
02/12 Para mas information visita www.cemexusa.com.
1:50 `1N2�36
CEMEX ,
5772 403
Plant:"
Begin Loading:
To Job:
Arrive Job:.
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
Customer Name:
Customer Job Number:
Order Code / Date:
:.}10 751:.!(_>�1
I'iiT:. iT."k-` t
(.,Lti `q:.7 Ti�. �. Lllw e 1 R...lN
(�'iRt i f.f..jf t_A f J 1 _I
"i,Prcject Code:,
Project Name:
{
Project P.O. Number:
Order P.O. Number:
Ticket Date:
Delivery'Address
'
Map Page: Map/Rogw/-Columni
.- 05,1 �i:?'."r ,'�' .1 5
I... #.,�',.� ,`� MI5,
t b T
t�l �•.l � �l...) I E 1 1 r
� „ �f t f: 1 .1-6- 8 �0 1 2
Delivery Instructions: -
Dispatcher:
JEN EN-
:M- C
Cir �Til"11.ti�
Ticket Number:
3-137254711
,•
LOAD
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
NAV Si PIa3' 00
-. `. (st=s`•
ew 471. 1.8t?
�'' k3EITT_.1
SiJtF: l.:", C 0.
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PI-•i1:=11�� II tt LL f' t
i�i-�?L j,..,F"i�l`�i-il::i6_
,
a
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.Ra:..�6
Due On Job:
,Cash
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
ltiia :1. `I--�v
:f.(��`�(:�t:t'?
R41ii_1...7{�,�!
�>-.E�rl9rfG
�1wT.�4tll�b
:=�:_f�I�
Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge
CommentsFEE
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: '
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
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 hazar
68UNIVERSAL I �Ri_ taf [K t. 00 r r�Iki (. INVOICE
6__t•1Oi3 NUM. 2
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotal if any, and. Seller's Order Confirmation idi.ng limitations of warranties),aas if fully
set forth on this Delivery Ticket ("Agri nt"). Seller will provide the Standard Te. 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.
AUUKl UNI'E / UENIL+'N'1' / UONIA KE'1'E YKODUUTS / 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 animo-
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
02/1.2 For more information please visit www.cemexLtsa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su apl.icacion de credito); cualquier
tennino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmacion del vendedor (con lirnitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los tenninos estandares y condiciones detal-
lados en. caso de asf ser requeridos. Con este docu.mento, el comprador acepta los mismos ya antes mencionados y que ]as cantidades
y materiales fueron entregados como se expresa en el T.nismo. Acepta pagar el monto de acuerdo al contrato; al menos que seadenti-
fique con una nota a] frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como pi.edra caliza, dolomita, granito, coca volcan.ica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaiiilerfa, 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) la cual 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 piel. Concreto seco y polvo de agregados, pueden causar irritacion en los Ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforacion puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingerid.os, mantenerse
en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al 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 piel. Use guantes, protecc.i.on. en los Ojos y ropa
Primeros adecuada para proteccion. Lavese las manos con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por .15 .minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informacion visita www.cemexusa.com.
o?� : J� 36
�L c -MEX
Plant:
Begin:Loading:
To Job:' '
Arrive Job:
Start'Unload:
Finish Unload:
Leave Job:
Return Plant:
w Customer Code: Customer Name: ( Customer Job Number:,
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Project Code:: Project Name: Y Project P.O. Number:
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Ticket Date: t Delivery Address:
j Delivery Instructions:- '
Order Code / Date:
Order P.O. Number:
Map Page: Map/Row/Colttumnii
Dispatcher:
Ticket Number:
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Due On Job:
Slump:
Truck Number:
Driver Number.,
Driver Name:
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QUANTITY
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Check
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Cash:
Received: Total COD Order Amount to Collect
Without Standby Charges:
WATERADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
I�...L.. !...�.��i!..4 f l 7 /I.; 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,atcustomers 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. 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 t�' yoU� 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 infog�nnat ,g 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 SIO AS.URE:
within one business day after the receipt of materials, O \!f w
68UNIVERSAL i-'%'• V I ' lli,K 0'!1 5':°;1 tr CUSTOMER 11") 'N'UM
t
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Tenns and Conditions, Seller's Quote , if any, and Seller's Order Confirmatior luding limitations of wadranties), as if fully,
set forth on this Delivery Ticket ("Ag ient"). Seller will provide the Standard T 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 / UEMEAT / UON_C;RETE PRODUUTS / 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 0.02.5% 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. of 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 infonnation please visit www.cemexusa.com.
Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicacion de credito); cua.lquier
ternino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con limitations y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los terminos estdndares 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 entregad.os como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con una nota a] frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son .materiales naturales como piedra caliza, dolomita, gran.ito, rota volcdnica, arena, grava 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, coca volcdnica, arena, Brava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a cual puede
contener rods 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 piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforation puede contener materi:al.es
silicon, los cuales pueden causar silicosis pulmonar y cancer s.i son inhalados. En caso de ser i.ngerid.os, mantenerse
en temperatura cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La .humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmon.es. Acudir inmediatamente al medico. El riesgo en la salud. depende en
]a duration y el nivel de la exposition.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecciion en los ojos y ropa
Primeros adecuada para protection. Ldvese ]as manos con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mds de los limites recomendados, use protection respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en .la paste afectada por .15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para rods information visita www.cemexusa.com.
l v-23�
P�lantt: -
Begin Loading:
To Job:
,Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
/
I TnL �,l 10 ` 0
'
Customer Code:
Customer Name:
Customer Job Number: Order Code / Date:
3107&1_ E,
M1-1_." . RY r ONS'T RUCI Ohl
` 826 5 t �7 / 15
Project Code:
Project Name:
Project P.O. Number: Order P.O. Number:
NO PO ,
Ticket Date:
Delivery Address: '
Map Page: Map/Row/Column:
01-75/07/15
L.C'i-1"r"_;� 4JCf�l�'EfR� 111
271 27 1680 1. 2
Delivery Instructions:
Dispatcher:
JE1'.ISEN! B E A(:,
GF= an n z n rg
Ticket Number:
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33725492
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
MAY '? F'i4 :00 .
Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Colleet
Without Standby_Charges:
Check
Charge
Comments
WATERADDED: GAL YARDS IN DRUM:
WHEN ADDED.
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
SIGNATURE
PARTIAL IA FULL ' !_C AE, 't; ARD.�S
" ❑ 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
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 any responsibility for the finished results. No credit for safety handling information, n o 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 SIG ATU C
within ne business day after the receipt of materials.
68UNIVERSAL PRE V I 'RK'-. 10oG- 4E,r 4
INVOICE
I._01A1) t+!l_ M. 13
This Delivery Ticket incorporates herein by. reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatkany, and Seller's Order Confirmation (i liiig limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agre( t" ). Seller will provide the Standard Ten 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.
AUUKhUA'1'h / UE1V1EA'1' /
PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limMstone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzo.lan (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 burs 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 i-ncluye como referencia al comprador (ya previamente ejecutada en su aplicacion de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con limitations 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 las cantidades
y materiales fueron entregados como se expresa en el. mismo. Acepta pagar el monto de acuerdo al contrato; al m.enos 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 naturaley como piedra caliza, dolomita, granito, roca volednica, arena, grava 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 volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual 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 piel. Conereto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforation puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si. son inbalados. En caso de ser ingeridos, mantenerse
en temperatura cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duration y el nivel de la exposition.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protection en los ojos y ropa
Primeros adecuada para proteccion. Lavese .las manos con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios: po.lvos. Si se expone a polvos mas de Los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavel.os a fondo con
agua. Acuda a atencion mddica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
929 Gessner. Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas information visita www.cemexusa.com.
CEM X . 5772 404
p Customer Code:
Customer Name:
Customer Job Number:
Order Code / Date:
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Project Name:
S : Project P.O. Number:
Order P.O. Number:
Ticket, Date:
Delivery Address:
Map Page: Map/Row/Column:
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Dispatcher.
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LOAD,(.
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
114
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.Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use: •
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Cash Check# / Auth Code; Signature of Driver Receiving Cash; Castr Received: Total COD Order Amount to Collect
Check Without Standby, Charges:
] , -
Charge -
Comments:
WATER ADDED: 4GAL YARDS IN DRUM:
WHEN ADDED.
a.
' l SIGNATURE
- CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
)C t+ FEE + `SIGNATURE
r �1 �t..i i ii! _ t_.l {L..j.., w_1...3�•;+,.} '�r�}°?�.;.i" .. it
❑LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, buY,the SPECIAL TERMS: Any water 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 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 shalt be deemed waived unless -made to us in writing AUTHORIZED SIGNAT.UgE�
within one business day after the receipt of materials. /\
68UNIVERSAL, (`F'`i•.:;.,F }.'N: matt:?I,�; ; °{c' CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati.i 77 any, and Seller's Order Confirmation (i ;ling limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agre4 it"). Seller will provide the Standard Teri 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.
AUUKE6A'1'h / C;L'NEM' / CONURETE 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, pozzo.lan (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. luings. 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 prev iamente ejecutada en su aplicaci6n de crddito); cualquier
termino estandar, condiciones del vendedor., propuestas del vendedor y orden de confirm.ac.i6n del vendedor (con .limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estdndares 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 Contrato; al menos que se identi.-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOI,ANTF,S
Los productos de agregados son materiales .naturales como piedra caliza, dolomita, granito, roca volcanica, arena, g.rava y otros
materiales silicios. Los-;productos de cemento incluyen Cemento de tipo Portland, de albahileria, 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 volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a coal puede
contener mas de 0.025% de silicio cristal.ino.
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 pie]. 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, Corte y/o perforaci6n puede contener materiales
silicos, los cual.es 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. Acud.ir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposition.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n on los Ojos y ropa
Primeros adecuada para proteccion. Lavese las manos con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mas de los limi.tes recomendados, use proteccion 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 afire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvel.os a Tondo con
agua. Acuda,a atenci6n medica inniediatam.ente si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner. Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mds informaci6n visita www.comexusa.com.
s
t 5 o3 6Z 3�
ICI" EX 57723508
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j
.. I
Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant:
Customer Code: Cu�
stomer Name: Customer Job Number:
Project Code: Project Name: Project P.O. Number:
Ticket Date: 1 9 DeliveryAddress:
7 It 1'' ]r- y r
tfy't' 1 5.' 15) i_i_j.i •_• 1 C �-:3? t.ENI CJi'St�.:. t. I 1 ,
Del)PEInstrtructioons: r ' ��a•�:�r�.:.tfr`5 E=I1�:H rt 1 Y r� r y MAD I X I.I :'. ,r-7,t.�..:k`iVIn'`t i>,ni� �wl, i:'s O t�ON I T,���E IL.UAD i
l;?Ef Cl-?,;r`ti** #kl,C`�f.l•'_- 4`"r
t 7 F T 10,"J F' rwH!':.RtpsA!" IB EtL 1, D
Order Code/ Date:
Order P.O. Number:
Map Page: Map/Row/Column;
Dispatcher:
Ticket Number:
333"7394 5 —,
Due,,OnJob-),-t
Slump: ern I.tr
Trugk�Tl)bead}!t"
Driyer.Nu r
Driver�a�e:
End Use: ✓d_ �I� tJF3t..€
LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
�. a r.•�I h
1. 00
J Cash
] Check
Charge
Comments:
y
Check # /Auth Code: Signature of Driver Receiving Cash:
i
Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
s CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
D T':"sP .ttiSAL FEE
EE
PARTIAL F"i?ILL., LOAD YARDS _ SIGNATURE
r ❑ 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
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 any responsibility for the finished results. No credit for safety handling information, and to the mat rial safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AAUUTHO SIGNATURE:- ��
within one business day after the receipt of materials. X /, A A n
do
68UNIVERSAL PRILE V T€ Kz 10(-J26'}54
LOAD K!Utl�
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation (ir Ong limitations of warranties), as if fully
set forth on. this Delivery Ticket ("Agrees "). Seller will provide the Standard Tenn I 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 aplicaci6.n de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation 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 las cantidades
y rriateriales fueron entregados como se expresa en el mismo. Acepta pagar el mon.to 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, doloinita, granito, rota volcan.ica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albahileria, pozzolan (tipo IP), aZ11lejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede
contener mas de 0.025% de s licio crystalino.
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 seco y polvo de agregados, pueden causar in•itaci6n en los ojos, pie] y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, Corte y/o perforation puede contener materiales
silicos, los cuales pueden causar si..licosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura cllida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberation del amoniaco. La inhalacion del amoniaco puede causar toser, irritacion 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: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protection en los ojos y ropa
Primeros adecuada para proteccion. Lavese las manos con jabon suave y agua despues del manejo de materiales. Evite inha.lar
auxilios• polvos. Si se expone a polvos mas de .los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se .inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavel.os a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continda.
CEMEX, Memorial Hermann Tower
929 Gessner. Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas information visita www.cemexusa.com.
AArA CEMEX
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
rn
Customer Code:
-,,.Cu�tomer NaName:
Customer Job Number.
Order/Code I Date:
-
1 )N
J 'J'
Project Code;
Project Name:
>rA
Project P.O. Number:
Order P.O. Number.
Ticket Date:
Delivery Address:Map
Page: Map]Row/Column:
Delivery Instructions:
Dispatcher:
ri T's
7"
I T PC
T-1
.
Ticket Number.
1A
Due On Job:,
Slump:
Truck Number.
rn et�.,
Dri�;L., b Pu,
b river, Name:
6J
End Use 'r ,
:4
LOAD
QUANTITY
CUMULATIVE'
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION `ij "CRIPTIONtr
"UOM
UNIT
9i
A",
KIM), 115 Am 10' r3
Cash Check # Auth Code:
Signature of DriverReceiving Cas
C Received,
Total COD Order Amount to Collect
.th
Without Standby Charges:
Check
Charge
Comments:
WATER ADDED: —GAL
YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
fif
SIGNATURE
7
0 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
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 any responsibility for the finished results. No credit for
safety handling information, and to the ma( riot safety data sheets for additional information.
rn retued concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing
AUTHORIZED SIGNA URE:
within one business day after the receipt of materials.
T�e
f
68UNIVERSAL CUSTOME�W"
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatio my, and Seller's Order Confirmation (ir ng limitations of warranties), a& if fully
set forth on this Delivery Ticket ("Agrees '). Seller will provide the Standard TenT l 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 eyeirritation, skin and eye bums 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. Inhal.at.ion 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 fo.r .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 apl;icaci6n de credito); cual'qu.ier
tdrmino estfitrdar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n, del vendedor (con limitaciones y
garantfas),como acuerdo total del ticket de entrega ("Contrato"). E1 veddedorproveera los teri nos estdndares 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 enttegados'como se expresa en el. mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fi.que con una nota al frente'de este documento.
AGREGADOS f CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica, arena, grava 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 productos incluyen cenizas volantes (fly ash) la cual puede
contener mds de 0.025% de silicio crystallno.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en Jos ojos, quemaduras en piel y ojos, y
reaceiones alergicas en la piel. Concreto seco y polvo de agr•egados, pueden causar irritaci6n en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte 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 temperature cdlida, 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 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. Ldvese las menos con jab6n suave y agua despues del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mds de Jos limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inha.la polvo, e.xp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos 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 mds informaci6n visita www.cemexusa.coni.
l�L 3_pZ3�
5?723
,503
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload: Finish UnloaL
CUZ`"'. 1 ['+";r C t-2 ' Iri I-: 1 � % i i'` ! _ i t . -I- T -+ .
III'r•Cod.?06 CustomerNamCe' t.•,CGC F') F r'UC I .LC:I`I Customer Job Number:
Project Code: Project Name:
Project P.O. Number:
I •
a
r• r.. r t-- I }
Ticket Date: � " DeliveryWlddiress: -� p ! L I'J? 1.•� 1. i..t
}.'3rr'-'.r. s,. rt.. s: =E�ACHDeficn±H
yItt�Atr'-T�.l :�,`.M p.."
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VP (II .I I-iE ',~ACi-I KEt--P (301 i,€G fat-31, T
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OrdLS6)
Map Page: Map/Rv,
r`— , _ t \
Dispatcher:rs:. I if 1 i'!L= \
Ticket Number:
.a � ! ,Jf•�A 6
Due'OnrJdb`.-"
Slump: "'
Truck amlieri'' `"�
Dri7.r`N+Ymt3ec`
DriverNa4ne- `8V-4I%Ii
End Use: L`c_a�tat t r, , err I�•r.
}
LOAD CUMULATIVE ORDERED MATERIAL CODE I QUANTITY., QUANTITY QUANTITY PRODUCTION DESCRIPTION I UOM UNIT PRICE AMOUNT
_ 6
:I.., 0t:i
. i
Cash Check # /Auth Code: Signature of Driver Receiving Cash:
] Check
Charge
Comments:
MAY 15-Am.8.46
Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
WATER ADDED: GAL YARDS IN DRUM`
WHEN ADDED.
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
,NATURE
..._ r•-IA RT .L AL_ _ FULL L tJlt- D -( A RD , 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
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 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.
f-%— I t •T• r9I O �, '^w f'S "•. r• 0. I' I Ivl _ d
„,_. . 's w
I' 68UNIVERSAL INVOICE
ce Buyer's previously executed redit Application if 1n
referee � any, Seller's Standard
tes hefein by and Seller's Order Confirmation (' iding limitations of warrdhties), as if fully
core
°ref lnyseller rll provide the Standard Ter . and Conditions upon request. Buyer agrees
,,ticket in eller's Qu°tate fit
)• ua hies and items were delivered as indicated and further expressly agrees to
elively 0.ditions � S Ticket ( Ngr thereof , all q �
t fortlnon 11 s D�viseen ted on the fton
N reenlent• ZNV /CONCRETE PRODUCTS /FLY ASH
se other ith the g CE
that, unleSs da11c GGREGATE y hmdading limestone, dolomite, granite, volcanic rock, sand, gravel, and other
gay in a�cor A ing2land cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
tvlrally occux>inc products including limestone, dolomite, granite, volcanic rock, sand, gravel, and
ducts arena t products cfuding fly ash, may contain more than 0.025% crystalline silica.
Nggresat materials. C amp cement and
sillceOus clude P°rt. als. These pro
rodl�cts in s ateri ement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
other s�ltce0u m aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
mg, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
Freshly p warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo -
re can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
void contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
Safet / clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
�Y dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
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 comp referencia al comprador (ya previamente ejecutada en su aplicaci6n de er6dito): cualquier
t6nnino 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 t6rminos 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. rnismo. Acepta pagar el monto de acuerdo al contaato-, al mends 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 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 productos incluyen cenizas volantes (fly ash) la 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 al6rgicas en la peel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Po.lvo del manejo en el triturarniento, 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 temperature calida, reposar y tomar grandes cantidades de aqua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion 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 pie]. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y ague despu6s 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, inmediatamente fluya agua en la parte afectada por 15 mimrtos.
Si se inhala polvo, exp6ngase a sire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n rn6dica inmediatamente si la inztaci6n continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
combinado Houston, Texas 77024
t_2 Para m1s informaci6n visita www.cemexusa.com.
,A--L CEME X
57723503
Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant:
Custo C. Co�e: st6mer Namb: Customer Job Number:
Project Code: Project Name: Project P.O. Number:
Ticket &te': D^elive'r"y"'Ad"dre"ss:T ""�l-
Deliv6ry- Instruc, ions:
Due On Job: slump: Tru6046r4e�.,Driver Nbmber:''•' DrilviirNdrrie:
LOAD
'QUANTITY,
CUMULATIVE
QUANTITY
ORDERED
,QUANTITYPRODUCTION
MATERIAL CODE
IPTION
'DESCRIPTION
Order Code / Date:
Order. P.O. Numbef:
Map Page: Map/Row/Column:
Dispat(her:'.
Ticket Number:
001W -UNIT PRICE TAMOUNT
,
KAV 15 91:46
_J 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
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
T
SIGNATURE
13 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
Company assumes no responsibility for damages inside curb 'or property fine. 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 but 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.
68UNIVERSAL CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotat f any, and Seller's Order Confirmation 1 cling limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agrt it"). Seller will provide the Standard Tei rid 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 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 fl wing 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
02/1.2 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su apl.icacion de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del'ven&dor (eon limitaciones y
garantfas), Como acuerdo total del ticket de entrega ('.Con_trato"_). El veu£iedor proveerd los t mines estandares y_condiciones detal-
lados en caso de ast"ser requerida s. Con este documentb, el comprador acepta los mismo,§ ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagan el monto de acuerdo al contacto; al'iiienos que se identi-
fique con una nota al f ente 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 IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados comb piedra caliza, dolomita,
granito, coca volcanica, arena, grava, y otros materiales silicios. Estos-productos .incluyen cenizas volantes (fly ash) la cual 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 piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona resp.iratoria. POivo del manejo en el trituramiento, pulido, Corte y/o perforation 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 grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberation del amoniaco. La inhalation del. amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud. depende en
la duration y el nivel de la exposition.
Seguridad: Ev.ite el contacto con ojos y contacto prolongado con la piel. Use guantes, protection en los ojos y ropa
Primeros adecuada para protection. Lavese l.as manos con jabon suave y agua despues 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 paste afectada por .1.5 m.iriutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continda.
CEMEX, Memorial Hermann Tower
929 Gessner.. Suite 1900
�.� combinado Houston. Texas 77024
- 2 Para aids information visita www.cemexusa.com.