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WATER ADDED: / •-� GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
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PARTIAL _- —_ FULL LL LOAD.' ' Yl- ROS ❑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 causeskin 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 healtA,., Please refervto 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.matenal`safetydata sheaf`s for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made'to us in writing AUTHORIZED S�I�GNATfIt /��\
within one business day after the receipt of materials, pRG
68UNIVERSAL f-0RE fIINVOICEI Of �'f� LOAD MUM a L
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 hiding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agi ent"). Seller will provide the Standard Te...... and Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and -items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
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 til�;,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 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
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier
t6rmino estandar, condiciones del vendedor, propuestas del vendedor y Orden de confirmaci6n del vendedor (con lirnitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor pzoveera 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 mismo. Acepta pagar el monto de acuerdo al contaato: al menos que se identi.-
fique con una nota al frente de este documento.
A V R VC ADn, / C.FMFNTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcinica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, coca 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 piel y Ojos, y
reacciones al6rgicas en la piel. Concreto 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
silicos, los cuales pueden causar silicosis pulmonar y cancer s.i son inhalados. En caso de ser ingeridos, mantenerse
en temperatura caliza, 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.'Acudu• 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 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 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si. el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n. continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informaci6n visita www.cemexusa.com.
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Order Code /Date:
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE' AMOUNT
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Cash Check# /Auth Code: Signature of'Drver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check - - Without Standby Charges:
' Charge +
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Comments: -
WATERADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
•T►:lNC RETE D I SPOSAI_, FEE SIGNATURE
_ _— O 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 materialsafety 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 +
661_11NIVERSAL P REV T I' K o il" .INVOICE
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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 lulling limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agi _____ent"). Seller will provide the Standard Te and Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
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- FresHy mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concre-,, and aggregate dust may cause imitation 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 � agested, 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 barbs of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: ' : - , nntact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
_`. kVash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
6. ,. ;,t,;: ; e re(,-,mmend ,d limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid- l,a ca-;, of eye con,wrt, immediately. flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
an. if wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900 .
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega i ncluye como referencia al comprador (ya previamente eje-cutada en su aplicaci6n de cr6dito); cualquier
t6rmino estandar, condiciones •del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6nninos 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 a] 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 naturaley como piedra caliza, dolomita, granito, roca volciinica, 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, dolomiia,
granito, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.02.5% de silicio cristatino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduxas en piel y ojos, y
reacciones al6rgicas en ]a 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, manteiiers&
on temperatuia o ilida, 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
quemaduxas en la n.ariz, garganta y pulmones. Acudir .intnediatamente al medico. El riesgo en la salud depende en
la duraci6n y Cl nivel de la exposici6n.
Seguridad: Evite of contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Ldyese 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 auxi.lios: En caso de contacto en los ojos, inmediatamente fluya agua en .la parte afectada por 15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02112 - Para mas infoimaci6n visita www.cemexusa.com.
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customer Code: Customer Name: `Customer Job Number: Order Code I Date:
3:'L-73305 COPISTnl- BUILDING, CON'I'M)CTORS, P-. 0. 32, 16 53G, 3 16, J. 6
Project Code: Project Name: Project P.O."Number' Order P.O.'Number:
Tickel;D'ate: Delivery Address: Map Page: Map/RowlColumn:
0 1. 6 581 klf-TTLIES ISLAND BLVD 1 1 2 7 17 3 01, 1
Delivery Instructions: NDispatcher:
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Ticket Number:
Due On
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Slump:
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Driver Number:
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LOAD
QUANTITY
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MATERIAL CI DE
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UNIT PRICE
AMOUNT
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Cash Check #/ Auth Code:
Signature of Dri6er Receivinb Cash:
Cash Received:
Total COD Order Amount to Collect
Check
Without Standby Charges:
Charge
Comments:
W7GAL YARDS IN DRUM:
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SIGNATURE
CURB LINE qR&ii�SED AT OWNER'S/AGENT'S REQUEST:
COIMCRFETIE DISPIDSOL FEE
-X F1 ( --L- FULL LO SIGNATURE
-1 iRTi n. A D 'YARDS
V-111 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 is at customers own risk. If water is added oInjob, concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product ay cause skin ander 9ye irritation. CAUTION: Material
I
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,fiealtW Ple-as�,Idlfer to D' bQsrje oqfhIs ticket for Important
safety a sheets, or d ionalinformation.
control after delivery, this Company will not accept any responsibility for the finished. results. Nocredit for safety handling information and towthe aterialsal g rt
returned concrete. Buyers exceptions and claims shall be deemed waived unless made'.to us in writing AUTHORIZED SIGNATURi: 7
within one business day after the receipt of materials.
6BUNIVERSAL PREV TRK!,, 10026399 •.-HM-OLD FLIDY13 iii LOAD .3
INVOICE
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Tenns and Conditions, Seller's Quotat' - if any, and Seller's Order Confirmation i iding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agri alt"). Seller will provide the Standard Te, ind Conditions upon request EEuyer agrees
that, unless otherwise noted on the front Hereof; all quantities and items were deliveiyed 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 fl�Lash, may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can pause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released.. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024 y
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicacion de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confinnaci6n del vendedor (con limitaciories y
arantfas), Como acuerdo total del ticket de entrega ("Contrato" ). El vendedor proveera los tdnninos estandares y condiciones detai-
n
lados en caso de asf ser requeridos. Con este documento, el comprador acepta Jos mismos ya antes meneionados y que las cantidades
y materiales fueron entregados como se expresa en el misino. 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 volednica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, coca volednica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cua�puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos, quemaduras en piel y ojos, y
reaccipnes alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en Jos ojos, pie] y/o en�
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforacion 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.
Se uridad: La humedad puede causar la liberacion del an7onlaco. La inhalacion del amoniaco puede causar toser, irritacion o
g quemaduras en la rfariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel. de la exposici6n. o
Seguridad: Evite el contacto con Ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa
Primeros adecuada para proteccion. Lavese las manos con jabon suave y agua despues del manejo de materiales. Evite .inhalar
auxilios: polvos. Si se expone a polvos mas de los limi.tes recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si. se inhala polvo, exp6ngase a aire fresco. Si. el cemento fresco ti.ene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n medica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informacion visita www.cemexusa.com.
CCMC_X
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Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
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Customer Code: Customer Name: Customer Job Number: Order Code / Date:
7 3Z�'B!3 'CIP -f 1-,. 11, t".1 I
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Project Code: Project Name: Project P.O. Number: Order P.O. Number.
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
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Delivery Instructions: Dispatcher:
Ticket Number:
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Slump: o
Truck Number:_
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Driver Number:,..
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
12 7,: 8 Fua.
0' 4,711
)C E1,1k) 1 RM,
Cash Check # Auth Code: Signature of Driver Receiving Cash: -Cash Received: 'rota) COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATER ADDED: GAL �YARDS 'INDRUM:
SIGNATURL
CURB LINE CROSSED AT OWNER'S//, 3ENT'S RE_ _'_-,
CMICRE.TF DISPOSAL FEE
PARTi"AL FULL LOA YWRDS SIGNAT L,.z
El LOAD WAS TESTED BY.---
Notice: Our drivers will make every effort to place materials where thdcustomer designates, but the SPECIAL TERMS: Any water added is at customers o1 I nsk. If water is 1sadC Oonjob concrete strength
Company assumes no responsibility for damages inside curb or properly line. Customer agrees to the is no longer guaranteed. WARNING: Product may cat --- -!,In and/or ye 'don. CAUTION: Material
terms of sale and delivery arid accepts concrete as,is. Due to important factors which are out of our may be hazardous to-y ur safety and health. Please iete, to 'h. .V,.dm'�e of this ticket for impodant
control after delivery, this'Company will not accept any responsibilityror the finished results. No credit for safety handling,information, and to the material safety 0,,-a SI ' 'LIT addition-1 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 P R E V i R! 0-111-
INVOICE
This Delivery Ticket incorporates herein by reference Buyer's previously executeli Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quot: , if any, and Seller's Order Confinnation luding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Ag_ ____jent"). Seller will. provide the Standard Tc—..., 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), rool.' 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 cpuse 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 inritatioii
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 protecii.on., and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 1.5 minutes. If dust is .inhaled, move to fresh
air. If -wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicacion de credito); cualquier
t6rmino; estandar, condiciones del vendedor, propuestas del vendedor y o.rden 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 Jos 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 contrato; al menos que se. identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONC_RETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca vole{mica, arena, grava y otros
materiales silicios. Los hr,?ductos de cemento incluyen Cemento de tipo Portland, do 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: Nlezcl£�t ; axi`niento fresco y/o cenizas volantes pueden causar i.rritaci6n en los Ojos, quemaduras en piel y Ojos, y
__sefccioiural�rgicas en.1a pie1. Concreto seco y polvo de agregados, pueden causar i.ruitacion en los Ojos, pie] y/o en
Jai. zone respiratoria. Polvo del manejo en el trituramiento, pulido; corte y/o perforacion puede contener materiales
sili.cos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperature calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberacion del iunoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o
quemaduras on la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en ]a salud depende en
la dui*ic#1 Iel nivel de la exposici6n.
Seguridad: Evite el contacto con Ojos y contacto prolongado con la pie]. Use guantes, proteccion en Jos Ojos y ropa, 1
Primeros , ; agecuada para proteccion. Lavese las mans con l4b6n suave y agua despu6s del manejo de materiales. Evite inhaler ` i.
B ' auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los Ojos, inmediatamente fluya agua en la parte afectada por 15 mini f ;i; k) c
Si se inhala polvo, expongase a aire fresco, Si el cemento fresco tiene contacto con sus Ojos, lavelos a fondo� . �J
��e•�a�, agua. Acuda a atencion medica inmediatamente si la irritacion continua.
"M A,
<• ",� CEMEX, Memorial. Hermann Tower
929 Gessner, Suite 1-900
V7 combinado Houston, Texas 77024 ;
02/12 Para mas informacion visita www.cei-nexusa.com.
CEMEX. -010 5:87301
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06 "
ta V r
(_X30/1090
CustorerCode:. Customer Name:
�'&ustomer JoJb Number., Order Code / Date:
3 17 8 5
3 CORSTAL
BU I �_-Dl t� 1 f3 ONTRACIfPR&
P. 0. 38 1 E 03/16/16
Project , o e: 'Protect Name:.
Project P.O.r Number:, Order P.O. Number.
U
Ticket Date:. Delivery Address
31/16- A, 16 NIET(.LES-ISLIAill) BLY D
Map Page: Mao/Row/Columm,
1
271 2 7 i78) 018'
Delivery nstructions:.-
L41
:"Dispatcher, %
-)T MR, T 1, ES
%
I SLPMNID,� JEW5, �1
Ticket Number:
%
56,
Due{ Qn.job:,
Siump:
5.04
TruqJ er.,,"
13,139
Driver Ilia
1 (71
7'EndJUse:,,
N, FLOYD
13LDNC i.- EX GHEI
LOAD CUMULATIVE ORDERED, MATERIAL CODE PRODUCTION DESCRIPTION 1.1101111 • UNIT PRICE AMOUNT
QUANTITY, -,.QUANI(7. QUANTITY f
-7,818 FLJEL SURCHARME,
5) 0102-1 Emilva Rlira Qq
,TPLI CHARC
R 16 Ams t,
7Cash Check-# /,Auth, Code: Signature of DriierReceiving'Cash:. Cash Received.: Total COD 04rder Amount to Collect
Check Without Standby Cha,rges:
Charge
Comments:',
WATER ADDED'. GAL YARDS ;ICI DRUM:"
AT
W E WHM NAIDDED..
SIGNATURE
f ,CURB, LINE CROSSED AT OWNE /SIAGEN'T'S REQUEST:
,.RE*rr-_,., • DitPOSAL FEE
AIL FULL LOAD YARDS SIGNATURE
LI'LOAD WAS TESTED BY.
t-13) r.ifort'0placerniate'rWhere
materials 11 the cu'stomer d6signatei, but the SPECIAL TERMS:' Any water added 16 at customers own risk. If water is added on job, concrete strengtl�,
effort
damages inside' !curb'o� property, line! Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material-
s concrete as is. Due to important factors which are out of our maybe hazardous to ypursafety ��tQot accept any rqsponsibility fof the finished results.. No credit for safety handling infor d to the material safety data -sheets forwadditional informaition.
(elt, lkd,claIms shall be deemed waived unless made to us in writing AUTHORIZED Sid
,d materials.
STRAUSS.
PREV TRK�
OD,
INVOICE
This Delivery Ticket incorporates herein by reference Buyer's previously execute,] Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quou if any, and Seller's Order Confirmation ludin- limitations of warranties), as. if fully
set forth on this Delivery Ticket ("Ag,--ent"). Seller will provide the Standard Te..._ and Conditions upon requcse�ffuyertagrees
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 /CON/FLY ASH
Aggregate products are naturally occurring materials including Iiinest6ne, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous mutodoJm. Cement products include Portland cement, masonry, pozzolarlroof tile, and stucco. Concrete
products include Portland cement and uggro�uteproducts including limestone, do1onoi volcanic rock. sand, gravel, and
other siliceous nuutedulm. These products, including fly ash, may contain more dbuu0.O2596 rryo\uUiuo silica. -
Hazards: Freshly mixed wet ocozeoiand/or fly ash can oouae'eyeirritation, skin and eye burns and allergic skin reac
—` .
Dry concrete and aggregate dust.rnay cause irritation to eyes, skin, and/or respiratory tract. Dust from
crushing, grinding, cutting and/or drilling may contain,,,�ilica, which may cause silicosis and cancer if inhaled.
ffingested, keep wami, at rest. and drinklarge amounts of water. Fly Ash may contain trace amounts of amino-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause couOhing and irritation
or bums 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 recornmended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: Incase o{ eye contact, immediately flush eyes with flowing water for |5minutes. Ddust iminhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughlywith water. Get proper medical attention if irritation persists.
CEME}{ Memorial Hermann Tower
929(}*Souor 9uitel9O(
Y76mobined Houston, Texas 77024
02/12 Fnromoro information please visit
pi
el -'--____-___-_fresco '____ v__---,_--_-----_--__--_-_- �_, _ e��n�J .o'~
.^~
km piel y/o en
La bumedad
Segor�«am:quernaduras en ' |uuaciz, '' ou6m.Acudiriuouediatmnmnieu}000dico.E\rioogocolusuJud depende ou
ladumoibnydoivddcb exposici6n.
Primerw
inmediatamente fluya agUa en la parte ufectado por 15minuto/
Si se inha'la polvo, exp6ngase a aire fresco. Si el cemento fresco deno mhtaoto mm sus ojos,lavelos u foodo P!
-=_-'_--_-_---_--_--'-_� _--_--''nte si
CEMEX,Memorial. Heimann Tower
929Gessner,Suite l90N
Y7uoozhinudo Houston, Texas 77024