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Order Code / Date:
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Project P.O. Number.
Order P.O. Number.
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Ticket Date:
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ILOAD
QUANTITY
CUMULATIVE
QUANTITY
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QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
I UOM
I UNIT PRICE
AMOUNT
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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
RECEIVED LN,, 2 2 2013 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. O
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RECEIVED NOV 15 2013 SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST;
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'� 910NAiURE
O LOAD WAS TESTED BY:
"Ira: Ow drium wN woks eriY Merl m pray% mete-lala ■hen Me e.alemm dealam.41' ;out me NPECIAL T911M& MY water added la el weternem an flak. ll,%mler fe added en Iee, eeetrere 6usnQp,
CanAeey a%Wmm r10 ABpOMINRY for dYAm inl* cuM or drmperry Iha. Cualormw epmea le tM Is m forger guarwAmd, WARNING: PredmM maywusa Palm andrwere kr MML CAImpN: IWewrral
lama of male a.af d"t' my Aare •eeaou eanwwtm mo N. Ow la imoam m Hraaq a here ouI or ow' may he hewwwv 4e ywr mralr aed ream, Prere 6.hr to ale oaurmta of MI1 kul Pow Impdrlpml
od sw a%wdaarary, me C&wmy WIN rm Iampf bey isaacneblllry for z A =hd-d rlaanka. rb CfedlI rlr /army mema,mp fmrmmWlw. and b the mNutel abtydala aheeb rar.ddlUprgl NNonnallan. %M,rlM6 LLrR ". 9uyem Art:epYana tlral daLM Aep he daermmr waived Waal made ,e us Inwdlk,a AWHORUM 01GNATURE
wthin Oma 4Ualaaae day bftr the m®ar of malmWa.
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One Constructi— services 779 336-9379 p.2
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UATCRIAL CODE
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PRtJDUCTItsN praCRIPTION
UDM
UNIT P(IIC!
AMDUNT
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Cash RMIndr I TOW COD order Am m to
WATER ADDED; GAL YARDS IN DRUM.
WHEN ADDEO.
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SIONATJRE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
I
SIGNATURE
U LOAD WAS TESTED BY:
Nom , me metes rut make every lrllell le . kloo mecum .hem the 1—cum,Omsr eedgnatai. but the SPIECIAL TERMS: Any -filar vddvd la al custareets aem 4h, It water to edeee Oe job. —wroto itrenglh
k M�ofilla4 llf�ei6�ly a�itC�b for Cea�o.a 4tdar Ourp fir p,ep�,y nn.. 0-10. r anovo to 00 /a eo lenpnre„wm�od. WARNIMOI PrrQyW mdY rArbe NtM e0070rdyll i" Uom CAUT114N: Malpial
aWFW albstlellva d R/e CALM S ysW&O nmov'oda H 4, Dua 10 eweartenr Flaw. -Han ere W of OW mry fie rlaaertlMn to raw safe" awe eeetet. plooee IWW a d's eadeld. of rlaa etup rw W+pmtenl
0bw eey rsvPW%V%WV br the MMW^ d rosullo. No bred+t for pgtyhwmr#p ltHafMMkM. mid in sm melodpl celery Ovls alteaaa far stelatowel vir amale".
M~ bv47wA. Borne eecoPUme and dakas whet: W Oeemw w&% ed wNefie made to us to w,%,rg AVTWM§IED SIGNATURE':
wlddn qm btwtnsu tlry seer the rreslpl of tneyrkla.
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77').'i36-9379 p.3
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Cwklmer Job Number.
Ptowy P.D. Number•
55988712
Orosr tioW �Oala:
Crder P.O, Number.
MEW Pape: meptRowrColumn:
Dlepttkeha:
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uo On Job:
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LOAD
GYANTIiT
CY6
QUANTITY
OYAN
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R♦7EY QUANTt1ry
MATERIAL CODE
I PRODUCTI0N 0D0CM710N
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AMOUNt
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Ceeh Chw& e f AAh CtWv; 9tpAetwe of DOW Flocoving Ceph: Cash Netalved: Total COD Ordae Anmunl to Cahn
Cheek Without StAnW* Charon;
,71 Cherve
CorntMnte:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED,
i
9l4NATUpE
I. CURB LINE CROSSEO AT OWNER'SIAGENT'S REQUEST;
SICHA7vRf
O LOAD WAS TESTED ON.
Nbtloe: 00 dnvare vm In ite every ollorl to p4rw trleletialt whom the Cuelbmer daelpnelea. but Me SPECIAL TERMS: Any warm Added lens Cuetbmero own disk. It water IS added oA Cammpnp wvjm.e no respor4bft for damum malls ems or omoo tr I e& Qntemr 6= b tn. tv no: . tbgnblp vlrerlglh
Nbae a MN and eat u•yar pwruniovd W IIRNIN6: Oaaua mar cevaa *f f Ohl 5 tryre ferlyUpOh CAt(al rOf Ma rtml
Wnve1 Mls►Aellyery, tfJ� ertl eo0et>4 tOnete{s p N, Due fa trrlperlenl testae +gltell aid out e! our may be haertow b y0w eereyr end ht/Afl, PNAee titer la Ms beellelda oI I►Ile ddlel For trltPortml
C°'p M -W rrot eooaPt "y .alPonalbWry 1& Ma fIrAahed MHullo. No Crddh Ior xfety Ileneinp Warmetlon, and to Ills malenal eefoy dote aneem for addbianel Nrkm mlon.
rmumed rOrlpata. Bum mime rm and u4kna atma be deemed W&%,w unteea made lo,ua In wr9lno AUTitOR�D SIGNATURE:
wlilftl ens bualneu day alter Ora moelpl .1 maraAeN. .
61HUNlVEq$AL
PLANT