HomeMy WebLinkAboutMASCHMEYER RECEIPT11,42 Water Tower Road, Lake Park FL 33403
Office: 1-877-484-9994 / Fax: 561-844-7102
10 In cxos
8386
South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch- 407-339-5311
Concrete Tested E] Yes [:] No LOT #
Water Added at Customer's
Cylinders Taken I Ej Yes ❑ No
i3e
Request
gals. to full load
Comments
galsl.;to 2/3 load
gals. to 1/3 load
Customer's Rep - Water Added
NOT RESPONSIBLE FOR
WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL WATER ADDED TO THIS,'ti
VARIATION IN COLOR OR
Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
SURFACE DISCOLORATION
an wash
skin exposed skin areas promptly with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
mixture gets, into eyes, rinse immediately and repeatedly with water and get prompt
medical attention. Keep children away from cement powder and all freshly mixed
AND DURABILITY. ANY WATER ADDED IS
AT CUSTOMER'S OWN RISK.
BATCH TIME
cement products.
On Job Begin Pour
7 7�7771
Begin Wash
To Plant
At Plant
TICKET# ORDER
#
TRUCK #
IiIc,
LOAD SIZE.
MIX SLUMP
DATE
P
1
CUSTOMER
SOLDTO
P.O. #
PROJECT#
DELIVE9Y ADDRESS
Z ONE #
U
RIVER,
.
INSTRUCTIONS
TIME DUE
Ohl I
ORDERED
PRODUCT CODE
PRODUCT DESCRIPTION
U.O.M.
UNIT PRICE
1 ly
QUANTITY
SCANNED
BY
081flude
County
SIGNATURE
OR RECEIPT CONCRETEAND-AGKNOWLEDGEMENT
OF HAZARD
WARNING
Maschmeyer Concrete Cornpany=wjjl not. assume liability for any property damage or any
equipment damage! for any deliveriWbeyond the cu'rbdine. SUB -TOTAL
TAX
AUTHORI
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SO TOTAL'
6l II
THIS GE FRY IS NIAOFF SUBJECT TO THE POLL( IG CONDITIONS.
1, Cuslomer aqpuf �; to CroVicie a S0tad)140,-0,'idPN8y fUr Ow !racks from the street pavement to the place of delivery 6f material, II
If SU-Jl, SLAfablO are not provided, we, reserve tvie right to, stop deliveries until conditions are rem edied a11d, 'n such II
event, Customer ki_,Vl I)e heid responsible ft)r any loss caused thereby,
2, Vvhpr, delvery 0; mude beyond 11-116 curb line at tuh,-, ou,;,Aomor or customer representative's request., any dama9e84nc!uding,
1t wa&�vvvi. �
but not limited to, sldQ�lks. ays, buildings, trees, shrubbery, septic tanks and septic systems. inci,udirt0the drain 1
field, are at the owner's rlsk
3, The cuslome p agirces to r6irn bun3o &�ioCon parry for loss of firrie and equipment by reasorn of such delivery, d also tc
indemnify and save harmiess %aid Oorrpan'Y frp, and al caims, demands ansuits or or on accorkit nof O'T in any
I T any llddd f�1
mariner caused by or arising f rorn pi ivats drivew6y defivM,
4- Customer* acknowledges that all rnaterial and seRlices shown have been received, that truck tirnes shown are d oirrect, and
that the amount t of water added at the customer's request is shown correctly. CAUTION: The addition of wat F reduces 11concrete strength and durability.
II
5. We are not re5pcnsible for finished restalts olatained from this load of concrete, many important factors affecting t16 ultimate it
quality of the completed Job are beyond our scope of responsibility and control.
& A charge of $i.00 per minute will be charged after 8 minutes, per cubic yard unloading tirrie is exceeded. V of
7. The custon, er agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery Pf material.
The custorner hereby 4grees to pay all costs and expenses of collection, including a reasonable attorney's fe4, if he shall 11
fail to Day for the merchandise reflected in this invoice, when due: Past due accounts are subject to Ca 1-1/2°1aij,ervice
charg(-,a on the unpaid past due balance, The custorner hereby acknowledges receipt of the complete copy of tlr(is contract. II