HomeMy WebLinkAboutMASCHMEYER RECEIPTSs
c'a Kai
1vD APR 1$D3
1142 Water Tower Road, Lake Park QL 33403 a.
Office:1-877-484-9994 / Fax:561-844-7102
ydI �I ..,itri l f i .If rl�1l it I,I � i1�' 1 n Iri
d, Pi
ll
pv11
ili
South 'East Florida Division Dispat h:/561-844-9994 / Central Florida Division Dispatch: 407-339-5311�.('ANNFD
P
Concrete Tested ❑ Yes a ' o LOT # BY
Water. -Added at Customer's
'
Cylinders Taken ❑ Yes ❑ No
s Request
` "'
- gals, to full load
Comments
y a"
�•- ---= gals. to 2/3 load
gals'. to 1 /3 load
Customer's Rep - Water Added
NOT RESPONSIBLEFOR WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
skin and wash exposed skin areas promptly with waters If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly with water and get prompt
AND DURABILITY. ANY WATER ADDED IS
BATCH TIME., ,,7 medical attention. Keep children away from cement powder and all freshly mixed
AT CUSTOMER'S' OWN RISK..
cement products.
n Wash
To Plant
PLANT,•
TICKET'#
4z� 9i 1'
ORDER #
TFUCK4
LOAD SIZE ,
MIX *„ ti, ,,
SLUMP
DATE
9r
CUSTOMER #
SOLD TO - - a : r ,,
P.O. #
PROJECT#
t
DELIVERY ADDRESS 11 GGq �y
a"
ZONE#
USE
DR(VER n
INSTRUCTIONS
TIME DUEii
ORDERED
PRODUCT CODE
PRODUCT DESCRIPTION
!
!
QUANTITY
SIGNATURE
XAA NING �-
OR RE(,�EIPI&CON
TE ANb ACKNOtNL'ED
EME OF HAZARD
• asc m ; e e Company will rt paesurrre la I Ity or any prope = . amage or any
, t L. r
any
SUBTOTAL.
equipme demage or deliveries beyond the curb line.
f AUTHORIZED BY
TAX
SHIPMENT SUBJECT TO CONDITIONS ON REVERS SIDE.
TOTAL
THIS'DEL!VL,-i v, i's MADE SU&ILE&IO THE FOLLOWII :ONDITIONS,,
r agrec$ to provide a suitable roadviay for ot.,r trucks, from the street pavernentto tfie pface o f dolivery 0.- YTi
It sun sLfTI.able roidv,.ays aro not providen., wareserve ,h,� righl. to stop cleliveries unfil conditions are remdied an"
ed, In suchi
event, custornerwN be held responsibie for any losscaused "hereby,
e-curb Jine at the cusl.orner or customer raore.,�entative.'s request, any darn i-lcluding.
When deWery i�3 mFide b!�yond th, agi, ii
but r,iat limited to, sidetwalks,, dt ivevvays,� buildings, tree;3, shrubbery, septic tanks and septic systems, including the drRin
field, are, all, the ov,!ner's risk.
3, The custorner agVeas to reirnbume said Company for Ofis of time and equipment by reason of suc", delivery, at4d. also ,n
indrimnify andsava� mamites s �iaid Company fforn ar)v laid P-!I claims, demands and sulLs for ter" on accounr of lrinanv
marine r causcd by orarising trom, private driveway dc*Jveenii
4 C u s to , Ti e r af. knov;; edg-,-� is Fill i rn ate ri all aid service s Nown i, av e b ee n rece i ved, th at 1kr Ock tim, es s I Ilown are co r ct , an d
that the arnount of water added at the customer's s 'questI', shown correctly, CAUTION: The addiVor, ofwalwqireduces
5. Vie are rto.t responsible for finishod results obta;ned ff -Irl this load of concrete; many important factors aftec!ing tlAp ulwrni.I.e
quality of the corriviel2d Job are, beyond of .jr scope v-; responsibility and control.
& A charge of $1.00 pet, minute will be charged after 8'rninula's per cubic yard unloading time is exceeded.
7. The customer agrees to p rovide a sriltable wash fwcAlity for near truckam" tools at the place of delivery 01,11,naterial.
8The customer hereby pgrees to pay all costs and expenses of collection, including a reasonable atttxrney's fee, �f he F"htaii ti
sail to, pay for the merchandise refiected in this irnvo�c . =;,, whendue: Past due accounts are subject to a 1-1 t2% �;jra rvice
charge or.,the unpaid pasl due balanceThe custor',ier hereby acknowledqes v*ece!pt of tfie I-o mp!a'Ze OCTY of thi'Nact
f I
A ,.�a "I'
1142 Water Tower Road, Lake Park FL 33403 'T
Office:1-877-484-9994 / Fax:561-844-7102��
South East Florida Division Dispatch:561-844-9994 / Central Florida Division Dispatch: 407-339-531 CA
NNED
Concrete Tested ❑ Yes 19NO LOT # BY
Water dell at Customer's
Cylinders Taken ❑ Yes afNo
Request
gals. to full load
Comments
gals. to 2/3 load
gals. to 1/3 load
Customer's Rep - Water Added
7 ; I ;; I -
1
I
NOT RESPONSIBLE FOR
WARNING IRRITATION TO THE. SKIN AND EYES
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR OR
SURFACE DISCOLORATION
skn and Wash expo edlsKn areas p omp=ly mixed concrete wthcause
wat rinlfnany cement powderrloir
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.
Begin was To Plant
70-
TICKET#
Q�ib)z�l
#'
TRUCK'#
LOAD SIZE
MIX s , SLUMP
DATEOMER#
OUST
SOLDTO,,, . .� I',` �j `j
P.O.,#
TROJECT#
DELIVERY ADDRESS 6G1 gyp �a P Ty i,=,
'41 � �
JZCYNE# y
'iH4�
USE
DRIVER '
•.
I! 4 tee, L'af
0- U d
T
INS TRUCTION5
TIME DUE
PRODUCT DESCRIPTION
a I
PrIll
SIGNATURE
OR RECEIPT -' CON
CRS GF AND ACKNOWLEDGEMENT
OF HAZARD
WARNING
asc ey r ; on a om angw no _assume la�l 1 ' or any property amageor any
• ei�uipmenpptgdarira for, �eAjijries beyond -the curb line. SUB -TOTAL
!f TAX
AUTHORIZED BY
SHIPMENT SUBJECT TO CONDITIONS ONkREVERSE SIDE. TOTAL
TH115 DEUVEn w PS RPAADF SUBJECT TO THE FOUMN ONDITIONS-
Co-zArymcr agreF* to provide a. suitable road-ovaV* for our tnjc',,s from the ;street pavernent to the place, of delivet Y 6? m Medal.
If su,b sr ltable roadway.-, arcknot piovioad, we reserve therk r-area i d phitasiopd0iveries until conditions are Ce ark: ,insj_.ch
evert, custarner will be held reeponsible for any loss caused thereby,
2, When aelivery is madc, beyond the curb line; at the custorn.ei or customer representative's request, any damagas-Mcl, Jdir'Q.
ouf no! flmited to, sidewalks, drivewjys, buildings, trees, shrubbery, septic tanks and septic systerns, includin the drain
field" are at he ovvnee.<, risk
3, -1 he customer agrei.-3 To reimburse saic.�,;Company for -loss of time and equipment by reason oil such delivery, aihi�dsfsoto
�Indernnifyand save harmless said Company from any and all claims, demands and suft-s for or on accoun flj�'inany
�-nanner caused by of arisingfrom privata� arlvew-T� delivery,'
4. Custom er acknowledges thatali materlai and semic " shown have been received, that ti tick fir -nos shnwn ari.) 6orfect, and
that the a4'noL,nt of v,,vtsf added at the CUStOfiler's request is shown correctly. CAUTION: The addition of wat4if-wouces
vonc.'el.o striongth -:tnd durab;Giy.
.5. We are not responsible forfin,ished resufts nbtAined from this load of concrete; many important foctors affecting ti-i ultimate
qMllfty Of t1heCOMOleted Job a-r;a boyana our scope of responsibility and control.
6. A charge of $1.00 per minute, will be charged after 8 minutes per cubic yard unloading time i,5 ex(,eecled,
7. The custarrier agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery J-namriai,
S. The customer hereby figreas to may all costs and expenses of collection, including a reasonatile attorney's fee. iif"'shail
tail to pay for the rnerchandi.,i_,e reflected in this invoice, when due: Past due accounts are, subject to a 1 -11/2% n,�rvk'n
charge on the unpaid pastabie ca!ance. The customer hereby acknowledges rec ipt of the compleie copy of th"�:,-;ritruact.
� u,v' d�il I� Illd It ,t tf ial, �j rI iL); c'til�i
t
1142 Water Tower Road, Lake Park FL 33403
Office:1-877-484-9994 / Fax:561-844-7102
South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch 407-339-5311
Concrete Tested ❑ Yes E`No LOT #
Water Added at Customer's
Cylinders Taken ❑ Yes D No
Request
gals. tofull load
Comments
gals. 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
VARIATION IN: COLOR OR
Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
skin and wash exposed, skin areas promptly with water. If any cement powder or
CONCRETE' WILL REDUCE ITS STRENGTH
,SURFACE DISCOLORATION
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 T E t ' '. - '
- - -- - • 1
cement products.
PLANT
TICKET# ORDER#
TRUCK#'
'LOAD SIZE
MIX SLUMP
DATE
t t
1� t,
f.
CUSTOMER#
SOLDTO
P.O..#
PROJECT#
i
DELIVERY ADDRESS
ZONE*
USE
DRIVER
t`•rY vTi I'1`��•.I II' ..i \A i1l.. ,. ' .v ^
6' '.! ..
1 �"!� .!Z.
INSTRUCTIONS
TIME DUE
CUMULATIVE
ORDERED
PRODUCT CODE
PRODUCT DESCRIPTI ON
U.O.M.
UNIT PRICE
u
SC
NNE
,� !i/I
[ Ii _ F.4 P°4
�' r.1
A Y ` .c. _.>
+ . `. I I �-
♦1
BY
T
r u
Ir4 , is
e County
O 0RECEIPT".NCONCRETE
AND ACKNOWLEDGEMENT
OF HAZARD
SIGNATURE
WARNING'
• asc meyer oncre a p��y w� I o assume is i I or any property damage or any SUB -TOTAL
equipment Wamdge,forxany deliveries1beyfond'the curb line
�%rsl _ti , _ TAX
X X AUTHORIZED BY
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE.. TOTAL
THIS DL=UVL.., IS MADE SUBJECT TO THE FOLLOWIP ONDITIONS,
4
Cuslorner,aqcrees to provide a suitable roadway for our, trucks, from the street paverm-Amt to the place of delivery ateJal.
It '3utch suitable roadways am not provided, WE. m- reserve the to stop deliveries until conditions are reedied q I Its such
event, customer willbe. held resnonsible for any loss caused thereby,
2, When delivery is made beyond the curb lineal the custorner or customer representative's request, any damageslincluding,
but ncf limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systerns, including' the drain
field, are at the owner's risk.
3, Tho customer agrees to reimburse sa;d Company for Ioso', of 11irrie and equipment by reason of such delivery, a�id also to
indemnify and save haimless said Company from any and all claims, demands and suits for o,, on account of in any
manner caused by or arising from private driveway delivery.
4. CustornerackrimMedges that all material and services shown have been received, that truck times z;hownare cqrre,-,t, and
that the arnount of water added at the customer's request is shown correctly, CAUTION: The additilo". of wale rlIredtjces
concrete strergth and durability,
5, We arenot responsible for finishod results obtainecf from this load of concrete; many important factors affeefing t ultirnaie
quality of the cornpleted job are bpyond our scope of responsibility and control. 14
6. A charge of $1.03 per.rninuto will be charged after 8 minutes per cubic yard unloading time is cxc epded,
T The custorner afire to provide a suitable wash down facility for our trucks and tooIs at the place of delivery of,,hiaterial.
H
& The custorner hereby pgrees to pay all costs and expenses oil collection, including a reasonable iattcrnk,�ys fee, if he SfT-2;i
fail to pay for the morch indise refiectod in this, invoice, when due: Past due accounts are subject to a -1 -1/2% se,r.,irlc
charge on the twipald past due bajan. The customer hereby acknowAdedges receipt of the complete copy of thisiuonti-act.
Sim Z111,
• . .:
1142 Water Tower Road, Lake Park FL 33403 It
Office:1-877-484-9994 / Fax:561-844-7102
South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311
I IIij¢ r 111 -r -4 V JI
1,1 Fllii�l��IF9� f
I
32, 07 7
+ o LOT #
Concrete Tested El Yes Fl _
Watery dded at Customer's
Cylinders Taken ❑Yes No
,Request
gals. to full load
Comments
r gals. 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
VARIATION IN COLOR OR
Cement polymer or freshly mixed concrete may cause skin injury. Avoidcontact with
skin and wash exposed skin areas promptly with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION
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 WATERADDEDIS
AT CUSTOMER'S OWN RISK.
BATCH TIME ;.; _,
s *� ,
.cement :products.To
Job On Job Begin Pour
Begin Wash
To Plant
�ET#
PLANT
ORDER
R#
TRUCK #
LOAD SIZE
MIX. r SLUMP
DATE
CUSTOMER #
SOLDTO
P.O. #
PROJECT#
DELIVERY ADDRESS
ZONE#
USE
DRIVER
INSTRUCTIONS
TIME DUEORDERED
PRODUCT CODE
PRODUCT DESCRIPTION
U.O.M.
UNIT PRICE
AMOUNT
•
QUANTITY
I..
f ,
CANNED
BY
.t 11!'..:-
yl
'4it Lucie
County
r
'
i
-
SIGNATURE'
OR RECEIPT - CONGRETEFAND
ACKNOWLEDGEMENT
OF HAZARD
WARNING
asc mreyep nprete ompany>.Wi rfot assume is 1 ity or any property , amage-or-any SUB -TOTAL
e�quipmen�ailamalgrany�cjeliveries beye curb line - —�^r �"
TAX
i P ! AUTHORIZED BY ,
SHIPMENT SUBJECT TO CONDITIONS ON SIDE. TOTAL
REVERSE
Sr,8LIIL-n,7�StrgADESUBJECI'TO-rHEFOLLOWIN DNDITIONS
1. Gustoomer agrees to provide a suitable roadway for our trucks fron4he street pavement to the place of delivery �f rnatorial.
If such suitable roadways are not provided, we reserve the right to stb,6 ijefiveries; until conditions are remedied alhd, in.,.-uch
event, customer will be held responsible for any loss caused thereby,
2hen delivery is made beyond the curb line at the customer or customer representative's request, any damages', including,
but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, int;'u6n'' the drain
'ield, are at the owner's risk.
The custorner agrees to reimburse said Company for loss of time and equipment by reason of such delivery, AcIalso to
indr-nir-ify and save harmless said Company from any and all claims, demands and suits for or an account of 6'
in any
,-,er caused by or arising frorn private driveway delivery,
4Gistomer acknoWedges that ail material and services shown have been received, that truck firnos shown are c6.7�ect,amd
that the arnount c." water added at the customer's request is shown correctly. CAUTION: The arf&*n of watc4�reduces
ncrote strength; and durability,
5. Wc °,.rs not rpsponsib!e fortinished results obtained from this load of concrete; many import ant factors affecting t tz ultirnato
of the corripietted job are beyond our scope of responsibility and control. ; j
A O'large of $1.00 per rriinote will be jt:harged after 8 minutes per cubic and unloading time is exceeded.
7. The custr)rner agrees to provide a suitable wash down facility to, our trucks and tools at the place of dellvwy ol rnaterial,
8, The custarner, hseby 0grees to pay all costs and expenses of colleofion, including a reasonable attorn. y's, fee, heshail
fail to pay for the morchandise refieGted in this invoice, when due. Past due accounts are subjectto a -1 -1 P2% A, vice
charge on the unpaid past due, balance, The customer hereby acknowledges receipt of the complete copy of thig6riiract.