Loading...
HomeMy WebLinkAboutCemex Invoice1710-c)9z� 4uili' CEMEX 54829140 F SZ_A 15 B 4`7r_�4 -17 d-tkiE7-5 a Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finlah Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name; Ticket Date: Delivery Address: Delivery Inetructlone: i Customer Job Number Project P.O, Number: Order Code / Date: Order RO. Number: Map Page: Map/Row/Column: Dispatcher: . j Ticket Number: I I Due -Op Job: Slump: fTruckVuT9bq,:.,. tDtiver Number ' , . ;D[ive Nema4 r ; End Use:., :.!{ I i I-w f LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE I AMOUNT QUANTITY QUANTITY QUANTITY APPROVED FILE COIDV 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. a SIGNATURE r CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: N SIGNATURE ❑ LOAD WAS TESTED Y:\ Notice: Our drivers will make every effort to piece materiels where the customer designates, but the SPECIAL TERMS: Any water added �e et aetomers 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, WARNIPIO:,� Product -may cause skin and/or eye Irritation, CAUTION: Materiel terms of sale and delivery and accepts concrete as Is. Due to Important factors which are out of our may be hazardous to your a-7, aid 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, indd�to the materiel safety data sheets for additional Information. returned concrete, Buyers exceptions and claims shell be deemed waived unless made to us In writing AUTHORIZED SIGNATURE: ti within one business day after the receipt of materiels, ® �� 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Qum if any, and Seller's Order Confirtnation uding limitations of warranties), as if fully set forth on this Delivery Ticket ("Ag lent"), Seller will provide the Standard Temn 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;t�,, pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH _ Aggregate products are naturally occun-ing materials including limestone, do�ite, granite, volcanic rock, sand, gravel, and r siliceous materials. Cement products include Portland cement, masonry, Bolan (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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de eredito); cualquier t6rmino estandar, condiciones del vendedor, propuestas del vendedor. y Orden de confirmaci6n del vendedor (con limi.taciones 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 menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CFN'IZA.q VOLANTFN 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 albaflilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci.6n en. Jos Ojos, quemadu.ras en piel. y Ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en Jos Ojos, pie] 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 temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad• La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salad 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 menos con jab6n suave y agua despues del. manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas 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 inhala polvo, exp6ngase a aire fresco. Si el. cemento fresco ti.ene contacto con sus Ojos, lavelos a fondo con agua. Acuda a atenci6n med.ica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas information visita www.cemexusa.com. 11,E fz� 441 'i ZZCEMEX 1710 r7 5432 329 C_:, LI-1 L�e �a Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project•Name: Ticket Date: Delivery Address: _ Delivery.l nstructions: Customer Job Number: Order Code / Date: Project P.O. Number; Order P.O, Number: Map Page: Map/Row/Column: Dispatcher: Ticket Number: a Due On Job. • Slump: Truck Number: Driver.Number:... Dr ver-Name:-., End Use: LOAD CUMULATIVE ORDERED 'r r QUANTITY QUANTITY' ' QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION L UOM UNIT PRICE AMOUNT Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge r Comments: t < 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 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. X / 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously execute ' "-edit Application, if any, Seller's Standard Terms and Conditions, Seller's Quote i, if any, and Seller's Order Confinnati.on hiding limitations of warranties), as if fully set forth on this Delivery Ticket ("Ag lent"). Seller will provide the Standard 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 C6 pay in accordance with the Agreement. AGGREGATE / CEMENT / COr ~RETE 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. Safetyr Avoid contact with eyes and. prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thorough.ly,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 Hennann Tower 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cernexusa.com. Este ticket de entrega incl.uye como referencia a] comprador (ya previ.amente ejecutada en su ap.licaci6n de cr6di.to); 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 tdi-minos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se express en el mismo. Acepta pagar el monto de acuerdo al contaato; 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 naturaley como piedra caliza, dolomita, granito, roca vole{iiica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaf ilerfa, 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 volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mils de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irntaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en Jos ojos, pie] 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 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 ]a nariz, garganta y puhnones. Adudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de ]a exposiei6n. Seguridad: Evite el contacto con gjos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada pars protecci6n. Lavese las manor con jab6n suave y agua despu6s del manejo de materiales. Evi.te inhalar auxilios: polvos. Si se expone a polvos mils de los limites recomendados, use protecci6n respiratoria. P.rimeros aux.ilios: 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, .ldvelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mils informacion visita www.cemcxt[sa.com. p `J erZ A,.L =cmcx .r 54829136 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name: Ticket Date: Delivery Address: :r Delivery Instructions: Customer Job Number: Project P.O. Number: Order Code / Date: Order P.O. Number: Map Page: Map/Row/Column: Dispatcher: Ticket Number: Due On Job: ., Slump:.- Truck Number: , ,.,.. Driver Number: ') f� Driver Na e: __ , I i i! _.,_(,l'ri'i'iC, End Use , hjc•'•I::.. _ LOAD ORDERED QUA TIITY I CUMULATIVE I QUANTITY I MATERIAL CODE PRODUCTION DESCRIPTION Cash Check Charge Comments: ?•• Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: WATER ADDED: UOM UNIT PRICE AMOUNT 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: °^I)i'',A`,-S 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 wate Ir s 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 eyetlrritation. 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, a dlb 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: i within one business day after the receipt of materials. 68UNIVERSAL :,7r.: 1 t r1r T ^,'f , I ,, •, ,' t',r r,— • .) 1-1t=�+`� . C�INVOICE 1p,I(;r��l- /i i. t�'�,t(. ,,,,;,;�•I , This Delivery Ticket incorporates herein by reference Buyer's previously execute redit Application, if any, Seller's Standard Terms and Conditions, Seller's Quot t, if any, and Seller's Order Confirmation _ luding limitations of warranties), as if fully set forth on this Delivery Ticket ("Ag_--_vent"). Seller will provide the Standard 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 46cordance with the Agreement. AUURhUA'1'E / UE1V1.1;1V'1' / UUNUKE'1'E YK0VUU'1'S / YLY ASH Aggregate products are naturally occurring material's 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 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 warn, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level. of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier t6rmino estandar, condiciones -del vendedor, propuestas del vendedor y orden de confirmaci611 del vendedor (con limitaci.ones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los tcrminos 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 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, gramto, 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, gr nito, 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 pie] 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 silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener anioniaco. Segur•idad: La humedad puede causar la liberaci6n del amonidco. 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. Lavese ]as mans 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 respiratorria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si. se .inliala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, .lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX, Memorial. Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.cemexusa.com. »- Aip�camax i� 54825326 Plant: Begin Loading: To Job: Arrive Job: ' Start Unload: finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: ` ProlectCode: Project Name: Ticket Date: Delivery Address: Delivery Instructions: Customer Job Number: Order Code / Date: Project P.O. Number: Order P.O. Number: Map Page: Map/Row/Column: Dispatcher: Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name:... ',P End Use: �•s 11�5 `, f�('1 'iri ,- '��1, , !! +LI'-•` :') l _ 1.� '`' Ir LOAD CUMULATIVE ORDERED MATERIAL COPE ' PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY t 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. SIGNATURE + v CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: _ .. SIGNATURE T ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, buNhe 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 date 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. O 68UNIVERSAL JNVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executes' `'-edit Application, if any, Seller's Standard Terms and Conditions, Seller's Quota if any, and Seller's Order Confirmation ( rding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agr ent"). Seller will provide the Standard 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 / 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 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 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 limi.taciones y garantias), como acuerdo total del ticket de entrega ("Contrato"). El'vendedor prove6fil 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 entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volciurica, 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 sauna• irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones alergicas en la piel. Concreto seco y polyo 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 cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. 5eguridad: 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 pie]. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n: Lavese 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 respiratorria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continda. CEMEX, Memorial. Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para inns informaci6n visits www.cemexusa.com. Ys Y � � i i .•4"_ j S C0"MCm X 54825 24' a� Plant: Begin Loading: To Job: -Arrive Job: ' Start Unload: Finish Unload: Leave Job: Return Plant, i r; Customer Code: Customer Name: Customer Job Number: Project Code: Project Name: Project P.O. Number: Ticket Date: Delivery Address: Delivery Instructions: Order Code / Date: Order P,O. Number: Map Page: Map/Row/Column: Dispatcher: r , Ticket Number: Cy 7 Due On Job:., Slump: r Truck. Nu bar. r+. rt] Driver.Number, ?. F'h,':LJi' Driver�Name: ' i} End Us e: I_1141i T''? (•?I'if;i^' 6 l R I r*r_.'i :_ r LOAD CUMULATIVE ORDERED MP TERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY j a Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check 1, Charge - Comments: ti 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 materiels 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: Materiel 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 date 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. O 68UNIVERSAL INVOICE This Delivery Ticket incorporates h(--;n by reference Buyer's previously execute redit Application, if any, Seller's Standard Terms and Conditions, Seller's Quo( r, if any, and Seller's Order Confinnation k...,,luding limitations of warranties), as if frilly set forth on this Delivery Ticket ("Agiccinent"). Seller will provide the Standard 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 tM Agreement. vAGGREGATE / CEMENT / (`;ONCRETE 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 cemerr, 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, mayi.ontain 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 wann, 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega inchrye como referencia al comprador (ya previarnente ejecutada en su aplicaci6n de cr$dito); 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 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 VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomi.ta, granito, coca volcanica, Buena, 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 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 alergicas en la piel. Conereto seco y polvo de agregados, pueden causar irritaci6n en los ojos, pre] y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales sili.cos, los cuales pueden causar silicosis pulmonar y cancer si son inlralados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nive.l de .la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada Para protecci6n. Lavese las menos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si. se expone a polvos mds de los limi.tes recomendados, use protecc16n respiratorria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si. el cemento fresco ti.ene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informaci6n visita www.cemextisa.com. 54829130 Plant: Begin Loading: To Job: °Arrive Job: Start Unload: 'Finish Unload: ` Leave Job: Return Plant: Customer Code: Customer Name: !,If.; •l .1 :f;,1`I: Project Code: Project Name: . Ticket Date: DellveryAddress: - r , Delivery Instructions: Customer Job Number: Order Code I Date; Project P:O• Number Order P.O. Number: Map Page: Map/Row/Column: Dispatcher , Ticket Number: Due.On Job: Slump: i'.._s:.,'..: ?Truck Nu beJ'_ �.• i ti' Dryer Number: ';t,r., C;i"S Drlyer NaR,e: �_C'}Lri :_;,, End Use'. ,.. LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY Cash Check # IAuth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order -Amount to Collect Without Standby Charges: Check Charge Comments: - . /7 J 1 WATER ADDED: (_TGAL 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 lie 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. 0 G 68UNIVERSAL {:. I' ^. U f Fi i 1. r ;"',��i, [..'r ii. r rfr'! -.iil INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously execut 'redit Application, if any, Seller's Standard Terms and Conditions, Seller's Quoi a, if any, and Seller's Order Confirmation ,luding limitations of warranties), as if fully set forth on this Delivery Ticket ("Ai rent"). Seller will. provide the Standard 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 tffd Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH J 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 r:oducts including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, includl; 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.di•illing may contain silica, which may cause silicosis and cancer if inhaled. If. ingested, keep warm, at rest, ana_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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del. vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los terrninos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta Jos 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 / UEMENTO / FRODU(: FOS DE UUNUKETO / UENILAS VOLAN YLS Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, grava y otros materiales sili.cios. 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 volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener rugs de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en pier y ojos, y reacciones alCrgicas 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, cort.e y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura edlida, reposar y tomar a.randes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Se uridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o g 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. 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 protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inllala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a attncion m6dica inmediatamente si la irritaci6n continda. CEMEX, Memorial. Hermann Tower 10100 Katy Freeway, Suite 300 combinado Houston, Texas 77043 Para mas informaci6n visita www.Cemexusa.com. 0 • t . 5482912S Plant: Begin Loading: To Job: Arrive JO: Start Unload: FInIsh Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number: Order Code I Date: Ty Project Clods:, Project Name:, Project P.O.-Number: Order P,O, Number: Ticket Date: Delivery Address: Map Page: Map/Row/Column: "F F !0 j,i Ci 1 yV•I i Delivery Instructions: Dispatcher: Ticket Number: 'Due.Qn.. Job: slump: -..Truck. " N,7 bar,, Driver NuTber: J.'D ,!Iver,Name: End Use:, LOAD CUMULATIVE ORDERED QUANTITY I QUANTITY. QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION LIOM UNIT PRICE AMOUNT t Cash Check # I Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: 61 WATER ADDED: / GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: . f 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 Importer,' 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. 0( 10 Y !N 10 R T ( 56-11 L 0 D N 11 Mi 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously execute' "-edit Application, if any, Seller's Standard Terms and Conditions, Seller's Quota if any, and Seller's Order,Confirmation uding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agr ent"). Seller will, provide the Standard 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 tb 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 cons<rin. 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. of wet cement contacts skin, rinse thoroughly with water. Get proper medical attention .if irritation persists. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01117 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 estindar, 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 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 m.ismo. Acepta pagar el .monto de acuerdo al contaato; 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 vole,,uiica, 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, coca 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 irritaci6n en los ojos, quemaduras en pie]. 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 silicon, los 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. La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o Seguridad• quemaduras en ]a nariz, garganta y pulmones. Acudir- inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de ]a exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las 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, inmediatamente fluya agua en ]a parte afectada por 1.5 minutos. Si. se inhala polvo, exp6ngase a ai.re fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower \_ o10.100 Katy Freeway, Suite 300 Houston, Texas 77043 l . Para mds informaci6n visita www.cemexusa.com. 54829-128 Plant: _Loading:",, to J6b: Arrive Job., Start Unload: Finish Unload: Leave Job: Return Plant: 4 Customer Code: Customer Name: Customer Job Number: Order Code / Date: Project Code: Project Name: Project P.O,. Number;_Order P.O. Number: Ticket Date: Delivery Address_: Map Page: Map/Row/Column: Delivery Instructions; Dispatcher: Ticket Number: i. Dya�gn� Job: Slum k �,qmb �r�: j. ( - NuTber; NaTe: aver' �1. End 8 LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 41 Cash Check # / Auth Code: Signature of Driver Receiving Cash: 7 Check 7 Charge Comments: WATER ADDED: 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: D PP04.1, '1' Fit- f o c" Y) Y 1) F., 1) t--j SIGNATURE 0 LOAD WAS TES4J BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water 'aaded 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. WAFiN7!Nb:.N Product may cause skin and/or eye Irritation. CAUTION: Mated - terms of sale and delivery and accepts concrete as Is. Due to Important factors which are out of our may be hazardous to your Atety sna*'ealth. Please refer to the backside of this ticket for Import, control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling normaI f ti I -dJto the material safety date sheets for additional Information. 8 a returned concrete, Buyers exceptions end claims shall be deemed waived unless made to us In writing AUTHORIZED SIGNATU�E. within one business day after the receipt of materials. 68UNIVERSA f 7- 1� L 1INVOICE 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: D PP04.1, '1' Fit- f o c" Y) Y 1) F., 1) t--j SIGNATURE 0 LOAD WAS TES4J BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water 'aaded 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. WAFiN7!Nb:.N Product may cause skin and/or eye Irritation. CAUTION: Mated - terms of sale and delivery and accepts concrete as Is. Due to Important factors which are out of our may be hazardous to your Atety sna*'ealth. Please refer to the backside of this ticket for Import, control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling normaI f ti I -dJto the material safety date sheets for additional Information. 8 a returned concrete, Buyers exceptions end claims shall be deemed waived unless made to us In writing AUTHORIZED SIGNATU�E. within one business day after the receipt of materials. 68UNIVERSA f 7- 1� L 1INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously execute redit Application, if any, Seller's Standard Terms and Conditions, Seller's Quot i, if any, and Seller's Order Confirmation luding limitations of warranties), as if fully set forth on this Delivery Ticket ("Ag lent"). Seller will provide the Standard 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 / CEMENT / CONCRETE PRODUCTS / FLY ASH J Aggregate products are naturally occurring materials including limes}one, 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 c6hiiin 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 andirritation 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 N.IOSH-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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier t6rmi.no estandar, condiciones del vendedor, propuestas del vendedor y orden de copfirmaci611 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 VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomi.ta, granito, coca volclurica, arena, grava y otros materiales sili.ci.os. 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, Brava, 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 pie]. y ojos, y reacciones alCrgicas en la piel. Conereto 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 cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de .la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada Para protecci6n. Lavese las 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, inmediatamente fluya agua en la parte afectada por 15 mimrtos. Si. se inhala polvo, exp6ngase a aire fresco. Si. el cemento fresco tiene contacto con sus ojos, lavelos a fondo con .� agua. Acuda a atenci6n medica inmediatamente si la .irritaci6n continua. CEMEX, Memorial. Hermann Tower 10100 Katy Freeway, Suite 300 / Houston, Texas 77043 / Para mas informaci6n visita www.Cemexrtsa.com. Plant: Begin Loading: To Jobe Arrive Job: Start Unload. Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name_: Project Code: i, Project Name:' I' Ticket Date: Delivery Address_: _ r+` ( Delivery Instructions: I Customer Job Number: Order Code / Date: Project P.O. Number: Order RO. Number: Map Page: Map/Row/Column: Dispatcher: Ticket Number: I 'LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION QUANTITY QUANTITY J QUA NTITY t r I Cash ] Check Charge Comments: Check # / Auth Code: Signature of Driver Receiving Cash: WATER ADDED Cash Received: UOM I UNIT PRICE I AMOUNT 4 Z. i i Total COD Order Amount to Collect Without Standby Charges: -*� IGAL YARDS IN DRUM: / WHEN ADDED: SIGNATURE / CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 7 s �-s•: 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 sir 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: M 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 Im control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the ma peal 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.. 6BUNIVERSAL INVOICE Due.On}Job: Slump_._TruckNymber,._ Qrlyer,Numbee (�I i'il ID.rl�eriNeme;'I_... �_.. Ue'.L_I�•a 1 � �i�t,.i... End U�se;, F ._q. i ii C N.i F-1 ,. e ... .i.J,7 _/r .�_.� .I.7 .,1;� This Delivery Ticket incorporates he---- by reference Buyer's previously execute -edit Application, if any, Seller's Standard Terms and Conditions, Seller's Quote , if any, and Seller's Order Confirmation ,.: _Iuding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard 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 / 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 conta n more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ash can cause b.Xe 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01%17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye conro referenc.ia al comprador (ya previamente ejecutada en su ap.licac.ion de cred:i.to); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con limitac.iones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendcdor proveera Jos 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 pagan el monto de acuerdo al contacto; al menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volc{tnica, 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 piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios..Estos productos incluyen cenizas volantes (fly ash) .la coal puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritation en los ojos, quemaduras en piel y ojos, y reacciones alergicas en la piel. Conereto seco y polvo de agregados, pueden causar irritation 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, Jos cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cali.da, 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, irritation o quemaduras en la nariz, garganta y pulmones. Acudir-urmediatamente al medico. El riesgo en la salud depende en la duration y el nivel de .la exposici6n. Seguridad: Evite el contacto con Ojos y contacto prolongado con la pie]. Use guantes, protection en los ojos y ropa ,.Primeros adecuada para protection. Lavese ]as m�uios con jab6n suave y agua despues del manejo de materiales. Evite inhalar '`,rxilios• polvos. Si se expone a polvos mas de Jos limites recornendados, use proteccion respiratoria. \ Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en .la parte afectada por 15 minutos. r Si. se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, lave.los a fondo con agua. Acuda a atenci6n medica inrediatamente si la irritation continua. C CEMEX, Memorial Hermann Tower 10100 Katy Freeway; Suite 300 Houston, Texas 77043 Para mas information visita www.cemextisa.com.