HomeMy WebLinkAboutCemex Invoicer
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Map Page: Map/R owT
LT-� P'TD
",'VFN TURE, -14-11-'
_ '-beliveryin structions'
Dispatcher:
IF-NSFzN B EA C
nn jig
1\1 TO Bf-Ar-PI, LEM
.1 Ti6k6t Number:
3 405 J. 3L 15
Due On Job:
09: oc)
Slump:
3.o
Truck Number.
I o o 15 3
Driver Number:
101,3012
Driver Name:
I
GREG W t LL •1•qIYINS
End Use:
LALDPIGo WALL
LOAD
CUMULATIVE;,
,'.,ORDERED.
;
4
MATERIAL CODE
PRODUCTION DESCRIPTION--'(
60M
UNIT PRICE
AMOUNT
QUANTRY•
QUANTITY
UANTITN
10'.: 00�
0. C) ,
5 7 6 4 84, '3
NOV 13
12473 J-8,..-,FLJEL,,
SRJRCHRRd'�
IN V I RONIMEKFAL.'CFIR!�qE, 120 ;:--'7 4.S
Cash Check# /Auth Coqe:.,,
Signature 6- Receiving Cash:
sh.66el d:
Received:.
Total Cbl),Ord6r Amount to Collect t
.!,Driver'R
A'.
With6ut'Staindby Charges:.
Check
Ch k
Charge
C rg.
WATEPIADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB,; � CROSSED E 'S/A
PARTIAL FI)LI.- SIGNATURE
Q,LOAD-WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPE611—AUTERMS' ' Any -wialer_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 guara�te�e.-WPNIN Product may cause skin and/or eye Irritation. CAUTION: Material
t of s af, .t
arms ale and delivery and accepts concrete as is. Due to important factors which are out of our Ge K. d 'is to you fety ��hd.liealth. Please refer to the backside of this ticket for important
n?
after
Y' i�g information, and"to the �h �iterral-safe"ata sheets for additional information.
control a er delivery, this Company will not accept any responsibility for the finished results. No credit for safe hanad"I I 5,�- —
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUT ZED�SIGNATURE:
within one b0siness day after the receipt of materials.
68UNIVERSAL PIKE -IrR"K, INVOICE
I. DILI F) N LJ t-d - 1
Jr CC -Magi
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1�elv
5 267083
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Return
Customer Code: Customer Name: Customer Job Number:
33 0 o E-, 9 Ln' DOYLE 1"ASONRY INIC
Project Code:-' -- P-io-jact Namec Project P.O. Number:
Ticket Date: Delivery Address:
Delivery instructions:
EN ERE " 'I
Order Code / Date:
678 121118115
Order P.O. Number:
NIO PO
Map Page:. Map/Row/Column:
Dispatcher.
'G-FaTin4riq
Ticket Number:
3411243(--)
Due On Job: Slump: Truck Number: Driver Number: Driver -Name: End Use:
o 5-3 5.001 1.uo2643 1. OW05 HAROLD FLOYD EALDNG.- WPILL
LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY I I 1 1
5� 00 15. 00 '1579484 '"3000 PP!"IP y D 3Y
1. 00
I . 0 (1)
.1. �.-,-4-7 ILA US -FLIE-L SURCHARGE
ENIVIRONMENTAL CHIARGE
DEC I LB pm 2 - 2
Cash Check #.1,Au-thCode: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATER ADDED: GAL YARDS IN DUM:
--'�o-VYHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNERS/AGENT'S REQUEST:
CONK-41- 7TE DISPOSN- FEE
PARTML FULL LOAT) YARDS /SIGNATURE
Q 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 a at customers own risk. If water is added onjob, concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. YARNING: 4 Pfoduct 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�cl,fiealth. Please refer to the backsideo(this ticket for important
control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling info jmation—,andto the material safety data sheets for additional information.
returned concrete. Buyers exceptions';O'nd claims shall be deemed waived unless made to us in writing AUTHORIZED'
GNATURE,
within one business day after the redelpt of materials.
/NIVERSAL P'Rr.'-V "FRK. 1o0'C*'-',&---.-;99 INVOICE LOAD NUM - E
This Delivery Ticket incorporates herein by reference Buyer's previously executers Credit Application, if "ally, Seller's Standard
Terms and Conditions, Seller's Quota if any, and Seller's Order Confirmation luding limitationwo;`cwarranties), as if fully
set forth on this Delivery Ticket ("Agi.. LLJent"). Seller will provide the Standard Te.„., and Conditions upon i6gbe4S!. 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%n 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 glove, 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 aplicaci6n de cr6dito); cualquier
t6rmino estdndar, 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 cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrcto; al menos que se identi-
fique con Una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, Brava 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 pi.edra 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 in•itaci6n en los Ojos, quemaduras en pie] y Ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los Ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el. trituramiento, puli.do, Corte y/o perforaci6.n 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 liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
quemaduras en la nariz, garganta y pu.lmones. Acudir inmediatamente al medico. El riesgo en .la sal.ud 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 manos con jab6n suave y agua despues del. manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los Ojos, inmediatamente fluya agua en la pane 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
aguft. Acuda a atenci6n medica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1.900
V7 combinado Houston, Texas 77024
02/12 Para mds informaci6n visita www.cemexusa.com.
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Due On Job:
,'e�:.
Slump:
.,/• pia.
Truck Number:
�
Driver Number:
,
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Driver Name:
End Use:
l X l", �i l 1 L:
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LOAD CUMULATIVE ORDERED �.
QUANTITY QUANTITY t' QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
I x rSJi'}t 1 ,J ,{ff3 ytj �C .J i , t ':'f JPrf,ll:tfl y , , rr, r,l 7 rrr7!t,g {
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Cash '' Check # JAuth'bode: Signature of Dnver Rece,v(ng'Cash:'
t / ' - / •Ca`sh Received:' i'' T,ifal COD Order Amount to Collect'
Without Standby Charges:
Check
IWATER ADDED: IGAL W EN'ADDED.M
CU
.CROSSED AT OWNER'S/AGENT'S REQUEST:
r SIGNATURE
Itf_: F I::.L'. SIGNATURE
F1i4R 1.PL __.._. f L.1L_L... L_I_.lf t17Vi-
LOAD ,AS7ESTED BY:
r
Notice: Our drivers will make every effort to place materials where the customer designates, but the PECIAL TE�MS: lVt9 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 lin . Customer agrees to the s no longer uaran a WARNING: Product may cause.skr6 and/or eye irritation. CAUTION: Material
I
erms of sale and delivery and accepts concrete as is. Due to important I ctors which are out of our rPay be hazardo S 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 s kty hand!_in . orm, do , nd to the material gafdtl' data shaets for additional Information. '
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing O ROR IED IGNAT' R :
within one business day after the receipt of materials. )( /
i1
68UNIVERSAL fIREV TRK;, lOCii:::i'.fiC) 7 CUSTOMER i.._CIAD NUMc �'
��cmcx
58267080
Plant:
Begin Loading: I
f k /T0004/
rive,'Job:�
rild d
F1610 qpload:,,,,
Leave Job:
ReturnPliint:
o 1.3 ol/ �) -3 u
.1 C
Customer Code:
Customer Name:
Customer Job Number:
Order Code I Date:
3006980
DOYLE
1y1A.SDt,4RY INC
676, 1 E'l 121 151
Project Code:
"Project Name:
Project P.O. Number:
Order P.O. Number:
NO PO
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column:
Delivery Instructions:
Dispatcher:
JENSEN
BE ACH
G F a
Ticket Number.,
12c-
341 274
FDue On Job-.
Slump:
Truck Number:
Driver Number:
Driver Name:
1
5�00
IW263931
109202).
lyll-KE
LOUPE
EA L D N (3 W A L. L
LOAD
QUANTITY
CUMULATIVE T
QUANTITY
_ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
Yom
UNIT PRICE
AMOUNT
1 (). 0 C',
i), CIO
15. 0 ("1 157L-1,484
300()
PPMr.
. YD.
RECEIVED DEC 19 pp, 1:22
0 0 [08,f
1., 00 121 4 7 8 113 FUEEL 'SURCHARGE
1.00 1 0 2 7 49 ENVIR01,41YIENTAL CHARGYE
Cash Check # Auth Code: Signature of Driver Receiving Cash:
End Use:
lC
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quota if any, and Seller's Order Confirmation uding lintitations ,of warranties), as if fully
set forth on this Delivery Ticket ("Agr_____ent"). Seller will provide the Standard Te____ and Conditions upon rluest. 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 MOSH-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 .include como referencia al comprador (va prev.iamente ejecutada en su aplicaci611 de ered.ito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y 'Orden de confirmaci6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6rminos estandares y condiciones detal-
lados en caso de as.f ser. requeridos. Con este documento, el comprado.r acepta los mismos ya antes mencionados y que las cant.idades
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 rota al frente de este documento.
AGREGAUUS / UEMEN TU LFROV U UTU5 DE UON UKE`l'U / UENIZAN V ULANTES
Los productos de agregados•son rilateriales naturally como piedra caliza, dolomita, granito, coca 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, do.lomita,
granito, roca volednica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio cystalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en piel y Ojos, y
reacciones aldrg.ieas en la piel. Conereto seco y polvo de agregados, pueden causar irritaci6n en los Ojos, pie] y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura 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, irritaci6n o
quemaduras on 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 agua despu6s del, manejo do materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos rods de los limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los Ojos, inmediatamente fluya agua on 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 Tondo 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 mas informaci6n visita www.cemexusa.com.