HomeMy WebLinkAbout1404-0377 CEMEX CEMEMT�I
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BY
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'Plant:
Loadings
To Job.
Arrive Job:
Start Unload
Finish Unload.,
Leave Job
Return Plant;
Customer Code: I ustomer Name: Customer Job Number: Order Code / Date:
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}Project ode.,G;1, Project Nalne. - w °; Project P.O. 'Numher:- ' Order P.O: Numbec
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Ticket Date Delivery Address: Map Page: Map/Row/Column:
07
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Delivery Instructions:. _ Dispatcher:
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g Ticket Number:J _ - i
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Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
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LOAD CU ULATIVE ORDERED 11;,ti
QUANTITY Q NTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITPRICE AMOUNT
_ {_'f 3 , iCY10rti:l 5 13000 P.L.ENDEDI ;,R M nG
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'571251`:.
SEE RV4PA't`!_OAD CHf-IRGE
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_
Cash
Check
Auth Code:
Signature of Driver Receiving Cash:
Cash Received:
Total COD Order Amount to Collect
Without Standby'Charges:
.Check
Charge
I'
Comments:
WATER ADDED:
A GAL
YARDS IN DRUM:
WHEN ADDED.
Notice: Our drivers will
Company assumes no re
terms of sale and delive
control after delivery, this
returned concrete. Buye
within one business day
6BUNIVERSAL
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
f�rJ' ❑ LOAD WAS TESTED BY:.
every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water adduct customers Wn risk. If water is added on j b concrei
Aity for damages inside curb or property line. Customer agrees to the is no longer guarantee�dy. �WARNI�G: ProducJJmay d use skin and/or eye irritation. CAUTION
accepts concrete as is. Due to important factors which are out of our may be hazardous fo' your saf6fj and healty Pldase refer to the backside of this ticket for
any will not accept any responsibility for the finished results. No credit for safety handling informatio �nd to them t ri I safety data sheets for additional information.
ptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNAT RE:
receipt of materials. O
FIREV TFRK u INVOICE' LZIAL't PifllM
,jehvwy Ticket incorporates herein by refere.rwa Buyer's previously executed Cred;, cat 0 " if any,,,�,eller's Staridard
,rrns,and Conditions, Seller's Quotation, and Seller's Order Confirmation (in�ioi�imiltatiionsof warr�inties), as)f f6lly
-forth on this Delivery Ticket ("Agreeme- 9
,.Seller will provide the Standard Terms.. R ��onditjons upon request. Buyer agrees
that, unless otherwise noted on the front hereof, d1l. quantities and items were delivered as indicated and further e�pressly agrees to
pay in accordance with the Agreement.
Aggregate products are naturatly occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cernent, masonry, pozzolan (Type 1P), roof tile, and 'siucco. Concrete
0 an rock, ��Ind gravel, and
-products include Portland cement and aggregate products including limestone, dolomite, granite, v6lc ic
7�zar ds: F I reshly - mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns drid aller& A I in 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 c�ncer if inhaled.
CD
tfingested, 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 iungs. See physician. Health risk depends on duration and levetlof exposure.
Safety- Avoid contact with eyes and prolonged contact with skin. Wear -loves, eye protection, and appropriate 'protective
clothing. Wash hands thoroughly with mild soap and water aft'e'r 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 cernent contacts skin, rinse thoroughly with water. Get proper medical attention if irriiation persists.
CEMEX, Memorial Hermann Tower
' " '2 For "'^information "p=""° visit
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Los
/
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la duraci6n
y el nivel de la exposici6n.
auxilic^. polvosSi se exponeupo/vos mds de los umites recomendadoy,use protecci6n respiratoria.
afecLudo por.15odnutoo.
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02/12
CEMEX Memorial 8eonon^Tower `
929Gemmucr.Suite l400 .
Houston, Texas 774712i
Para ou8uinfoouuoi(';`` ^r; Luw,�� .
• 7 r --
cc-mcx
569.62901
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Retum-Plant:
ii
Customer. Coder Customer Name: Customer Job Number: Order Codel Date:
ProjecttCode i Project Name. _ . ProjectiPA. Number. = Order P.O. Number.
'Ticket Date: Delivery Address: Map Page:* Map/Row/Column:
Deliveryihstruchons: Dispatcher:'
I It•_.�+g.,..�? r'�r Fnt.,t"� " . _ ._ " . -
Ticket Number:
'd
Due On Job
+_'
slump:
f rf,'i
Truck Number.
�. r^t`�{�•,i
Driver
�. 't��ti. 1.
Driver N,a`me:
fTi .t {• 1...'I�:;.
End Use:
1,5r1... 1..
i
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.. :=�-
LOAD, CUMULATIVE OR MATERIAL CODE PRODUCTION DESCRIPTION
QUANTITY QUANTITY QUANTITY
qr+3�
r-
UOM UNIT PRICE AMOUNT..
S yS'�aV .,rm JS^
Check Check # IAuth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Charge (`r
Comments:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
RECEIVED SEP 04 2014
w SIGNATURE
l CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
y,t ,,, ;, f. F..,,,i
"(' {'" F - i it p / t'1 �i'",i 't SIGNATURE
' + .5, . ... .. ,
_ _.. LOAD WP S'TESTED -'IBY:
Notice: ,Our drivers will make every effort to place materials where the customer designates, bui the SPECIAL TERMS_ Any water added is at customer's own risk. If water.is added odjob; concrete strength
Company assumes ho responsibility for damages inside curb or property line. Customer agrees to the 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.pe hazardousfo 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 ha(dling information, a d 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 'AAUUTHORI ED SIGNATURE: }°
within one business day after the receipt of materials. I !
seuNlvERsaL - C,USTOMER�
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatii f any, and Seller's Order Confinnation (i ding limitations of warranties), as if fully
set forth on this Delivery Ticket ("AgreL..... it"). Seller will provide the Standard Teri___ -nd 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.
l
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASHI.,'�
Aggregate products are naturally occurring materials including limestone, dolorite, granite, volcanic .rock., sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type 1P), 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 jfrom 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 cif exposure.
Safety: Avoid contact "4fi eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash h^ idthoroughly with mild soap and water after handling. Avoid breathing dust". If exposed to
dust above recon "nded limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for. ] 5 glinutes. If dust is ikaled; move to fresh
air.:If wet cement contacts skin, rinse thoroughly with water. Get projI&Inedical attention if irritation persists.
I"
CE.MEX, Memorial Hennafrn Tower
929 Gessiter,-,;�ui
V7 combined Houston, Texas 77024-
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye Como referencia a]. comprador (ya previamente ejecutada en su aplicaci6n de credito),, cualquier
tennino estandar, condiciones del vendedor, propuestas del vendedor y Orden de confir iiaci6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerk Jos terminos estandares y cordiciones detal-
lados en caso de as.f 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 mis.mo. Acepta pagar el monto de acuerdo al contacto; al mends que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los producto,s.de agregados son. materiales naturaley como piedra caliza, dolomita, granito, roca volcanica, arena,i,grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albatiilerfa, 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 .inc:luyen cenizas volantes (fly ash)i,,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 p.iel y Ojos, y
reaceiones a.lergieas en la piel. Conereto seco y polvo de agregados, pueden causar irritation en Jos c'jOs, pie] y/o en
la zona resp.iratoria. Polvo del. manejo en el trituramiento, pulido, come y/o per.�toraci& puede contener, materiales
sil.icos, Jos cuales pueden causar s.ilicosss pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura ealida, reposar y t.ornar grandes cantidades-rle a ;rer ;Las cenizas volantes pueden c_onten-er amefftiac .—
Seguridad: I.,a h.umedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toner. irritati6n o
quemaduras en la nariz, garganta y pul.mones. Acudir inmediatamente al. medico. El riesgo en la salud, depencle en
la duraci6n y el nivel do 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. Lavcse las manor con jab6n suave y agua despues del manejo de materiales Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomen0ados, use protecci6n respiratoria. f
Primeros aux.ilios: En caso de contacto en los Ojos, himediatamente fluya agua en la parte afectada porj� 15 minutos.
Si se inhala polvo, exp6ngase a airs fresco. Si el cemento fresco ti:ene contacto con sus ojos, ldvelos' t Tondo con
agua. Acuda a atenci6n medica inmediatamente si ]a in-itaci6n continua.
,a
CEMEX,.Memorial Hermann Tower
929 Gessner, Suite 1_900
Houston. 'eras A77024
V7 combinadO
02/12 Para man i.ifOrrr ci6n vrs ca wdvW.ceme�cusa_com.
4AkCC--MC-X
lce3zrn� ���sf6
566 8349
Plant:
'
Begin Loading:
To Jobe
Arrive Job:
,Start Unload:
''
finish Unload:
Leave Job:
Return Plant:
tq;� r� i •� f 1, ±�j `.fit'.,'
��
Customer Code:
I Customer Name:
._r006,t?ial.i
DfDY'.-r INIC
'Project Code:
Project Name:
Ticket Date:
�" Delivery Address:
k.
F i..ri'i"-"?:32''
Delivery Instructions:
1l/
C Customer Job Number: Order Code / Date:
Project P.O. Number: Order P.O. Number:
Map Page: Map/Row/Column:
Dispatcher:
eltt11-Lrt
Ticket Number:
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
f °� ?
"ia tJli
.±:.'t_yi°�J. i
1.()..31.j4D f'
-,R � ! .�i�xt'°� i_r_
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LOAD
QUANTITY I �QUANTITYE I QUANTITY I ORDERED MATERIAL CODE I PRODUCTION DESCRIPTION
w i, ' .4, ;t }� { t'� ±'�'_ tl t � ':t':'�'�_D CgL.� f„1±_t
J Cash
] Check
Charge
Comments:
# / Auth Code: I Signature of Driver Receiving Cash:
RECEIVED
Cash Received:
UOM-'UNIT'FRICE'' 1 AMOUNT
y .,
I
AUG 14 Am 023
t
t
Total COD Order Amount to Collect
Without Standby Charges:
WATER ADDF-[)�� GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
i 0 '� ❑ LOAD WAS TESTED BY:
Notice: Our drives will make every effort to place materials A� ,he customer designates, but the SPECIAL TERMS: Any water addedJsstomers own risk. If water is added on job, concrete strength
Company assume no responsibility for damages inside curb pro erty line. Customer agrees to the is no longer guaranteed. WARN G. Product may cause skin and/or eye irritation. CAUTION: Material
terms of sale andldelivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your ,� etyjth. Please refer to the backside of this ticket for important
control afterdalive this Company will not accept any responsibility for the finished results. No credit for safety handling informal on, and to' e' al safety data sheets for additional information.
returned concrete. I Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNAT, fRE: /
within one busines day after the receipt of materials.
68UNIVERSAL (,' REV
; K U
1.0t_ 252.2"
INVOICE LOAD iliU11 n 4
This Delivery Ticket incorporates herein by reference Buyer's previously executed cl—lit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatic 'any. and Seller's Order Confirmation (il ring limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agree ...... t" ). Seller will provide the Standard Tern..,--.ld 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, g':ravel, 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 cal ause eye irritation, skin and eye burns and allergic,skin reactions.
Dry concrete and aggregate -dust may cause' litation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling r.ay 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. Heal[) 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 1.900
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 credito); cualquier
termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con!limitaciones y
garantias), 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 a] contrato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLA!NTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica, arena,'grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, roca voleanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash)1'a cual puede
contener mas de 0.025% de silicio cristalino. I �
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. concreto seco y polvo de agregados, pueden causar irritacion en Jos ojos,, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforaci6n puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos;imantenerse
en temperature cdlida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar tosert,lirritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El El -en la salud"depende en
la duraci6n y el nivel de la exposici6n.
Se uridad: Evite el contacto con ojos contacto rolongado con la piel. Use 7uantes, roteccio;'n en los �o'os ro a
g j Y p � p� g P ,J Y p
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 pane afectada por 15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atencion medica inmediatamente si la .irritacion continua. i
1
CEMEX, Memorial Heimann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para tnas information visita www.cemexusa.com.
-7
emcx
Goc�� J /rh��s�tias
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
i
'I Customer Name:
Project Code:
Project Name:
Ticket Date:
Delivery Address:
Delivery Instructions:
7
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:
Y
End Use:
`ii:_:}
LOAD CUMULATIVE ORDERED
QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION
I
k a e
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
Comments:
WATERADDED`, U GAL YARDS IN DRUM:y
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
O LOAD WAS TESTED BY:
�
° �
Notice: Our drivers will make every effort to place materi:als 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 Vroperty 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. Noncredit for safety handlingAnformation, and to the material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived, unless made to us in writing AUTHORIZED SIGNATURE
within one business day after the receipt of materials.
68UNIVERSAL
CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any,, Seller's Standard
Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation ('in ' 'ing limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agreer "). Seller will provide the Standard Term I Conditions upon request. Buyer agrees
that, unless otherwise noted on. the front hereof, all quantities and items were delive.r,; �.l as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGA_TE_/ 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 ('iype 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 dtist. tf 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 1.900
V7 combined Houston, Texas 77024
02/12 For more information please visit www cemexusa,coL
Este ticket de entrega inclu—ye comp referencia al comprador (ya previamente ejecutada en su-aplicacio%n, de ercclito) cualquier
termino estandar, �condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (coin limitaciones y
garantias), como acuerdo total. del ticket de entrega ("Contrato"). El. vendedor proveerd Jos terrnin.os estandares y condiciones detal-
lados en caso de asf ser requeridos. Con este docu.mento, el comprador acepta los .mismos ya antes mencionados y que .las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagan el monto de acuerdo al contaato; al menos que se identi-
fique con una now al frente de este documento. lr
AkrKhkrAUVJ / UL' IV1.L+ N1 V / Yit"VUl.;'1'U9 VE U"NUKE'1'0 / UEN1LA5 VULAN'.UES
Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, roca volcanica, arem', grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, pozzolan (tipo'IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra edliza, dolo'mita,
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. l
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en li piel y ojos, y
reacciones alergicas en la piel. Conereto seco y polvo de agregados, pueden causar irritaci6n en Jos o ps, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, carte 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 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 town, irritaci6n o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la sapid depende en
la duraci6n y el nivel de la exposici6n.
�i
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en lis ojos y ropa
Primeros adectrada para p.rotecci6n. Lavese las manos con jab6n suave y agua despues del manejo de materialestEvite inhalar
auxilios• polvos. Si se expone a polvos mas de los limiter recomendados, use protection. respiratoria.
Prim.eros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en ]a parte afectada pcir 15 minutes.
Si se inhala polvo, exp6ngase a Aire fresco. Si el cemento fresco tiene contacto con sus Ojos, lavelos a Tondo con
agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Heimann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024 r
02/12 Para mas informaci6n visita tyww.cemexusa.corn.
/SA°� iyoy - o 3
rMEMEX
:i
Plant:
Begin Loading:
TO Job:
E
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:. Customer Name: Customer Job 'Number: Order Code ,/ p
"Project Code ate:
7
'14F -
Project Name: Project P.O. Number. 6rdie"r P,,O. Number
Ticket Date; DelveryAddress' , ap Page: Map/Row/Column:
Delivery Instructlos: Dispatcher
Ticket Number:
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Due pRqo,�:�,,�,. 1,
Slump:
Truck �u Zlbe�;� o
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[Driver Number:.-.':
Drive N
1: , �q -'r
End Use: f , W l"I
LOAD
CUMULATIVE
ORDERED
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
QUANTITY
QUANTITY
QUANTITY
SEP 2 - 5 20%
I'D
S rw0: i1 `.MFI Pf-'31'!
c'. 4 0
-N IML f f fA, Cllc�l r fu)i
E-P 25 F)m 6:42
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
WATER ADDED
YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:,,
SIGNATURE
Q LOAD WAS. TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added 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 , I may, cause skin and/or eye irritation. CAUTION:,! Material'
terms of sale and deliv� M' and accepts concrete as is. Due to important factors which are out of our may' be hazardous tp_yjour-saf6ty_an'd 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. Nocredit for safety handling info—iaion-and to thet n a safety data sheets for additional information.
. .
returned concrete. Buyers exceptions and claims shall, be deemed waived unless made to us in writing AUTHORIZED SIGNAT RE,
within one business day after the receipt,of materials. 0
68UNIVERSAL
CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, �eller's Standard
Terms and Conditions, Seller's Quotatu f any, and Seller's Order Confirmation (i ding limitations of warranties), as iffuli.y
set forth on this Delivery Ticket ("Agre( it"). Seller will provide the Standard Ter-,,,,. -nd Conditions upon regtiest. Buyer agrees
that, Unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay i.n accordance with the•Agreement.
AG_;�REGATE / CEMENT / CONCRETE PRODUCTS / FLY AS
Aggregate products.are naturally occurring materials including; li:estone , dolomite, granite, volcanic rock, sand,, gavel, and other
siliceous materials. Cement products include Portland cerdent, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, 4and, gravel, u }
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. i�.
Hazards:
; Foshly mixed wet ce o •. 'n&or fly, : t c.an cause eyo irrity tion, skin and eye burns and all r-,; 4 skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust' r „ Handling.
crushing, grinding, cutting amd/or drilling may contain silica, which may cause silicosis and cain, : •
If ingested, keep warm, sit rest, and drink large amounts of water. Fly Ash may contain trace aniounts ,•i unimo-
nia. Moisture can ca',ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose:, iiu u«., and lungs. See physician. Health risk depends on duration and level i'bf exposure.
IG
Avoid contact with eyes and prolonged contact with skin. Near gloves, eye protection, and appropriate a c: u vt,
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing d.u'st. If > •osc,' =c -
dust above recommended limits (see MSDS), wear suitable NIUSH-approved respiratory protection.
First Aid:
I.n 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 slain, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Ifermann Tower
929 Gessner, Suite 1900
V7 combine.,
Houston, Texas 77024
02/12
For more information please visit �nv_vv.eemexusa.com.
Este ticket de ..'A.:U,egJ i_ncl.uye coma referencia al. comprador (ya previamente ejecutada en su aplicaci6n de er65dito); cualquier
t6rinino :.":` idar. condic ones del vendedor, propuestas del vendedor y orden de confirmaci611 del vendedor (c6n limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y c'ondiciones detal-
lados en caso de as% ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades
y matenales fu.eron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al mei os que se identi-
fique con una nota al fiente de este documento. I,
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dol.omita, granito, rota volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilena, pozzolan (tipoI''.IP), azulejo de
azotea y estuco. 1-os productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolornita,
granito, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) l '-cual,puede
contener mas de 0.025%v de silicio cristalino.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en: Piet y oios, y
reacciones alergicas en la peel. Concreto Seto y polvo do agregados, pueden causar irritaci6n en los ojo,,,.,pie] y/o en
la zona resp.iratoria. Polvo del. m.aneio en el t.rituramiento, pulido, torte y/o perforaci6n puede cont&ne.r materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer s.i son inhalados. En caso de ser .ingeritlos, mantenerse
en temperatura edlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden confener ar) 0111aca.
La humedad puede causar la :liberaci6.n del amoniaco. i..,a inhalacibn del a.moniaco puede causar to;s'er, it, • Ci61, o
Seguridad: que mad:urns en la nariz, garganta y pul.mones. Acudir inmediatamente al. medico. El. riesgo en la SalLid deponde en
la duraci6n y el nivel de la exposicibn.
Seguridad: Evite el contacto con olos y contacto prolongado con .la pi.el. Use-guantes, protecci6n eri16s ojos y ropa
Primeros adecuada para protecci6n. Lavese las mans con iabbn 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. , j
Primeros aux.ilios: En caso de contacto en los ojos, inmediatamen.te fluya agua en la parte afectada por 15 minutos.
Si se inhala;polvo, exp6ngase a sire fresco. Si el cemento fresco tiene contacto con sus ojos, lavel;os a fondo con
agua.=Acuda a atenc16n m6dica inmediatamente.si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinadp
Houston. Texas 77024
02/12 Para mas informa.cibn visita www.cemexusa.corn. �: