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TARMAC PAPERWORK
J. Tartu 'Than y appreciate your business", •A Titan America BuSrre ss _ _•,� "-.,,' .. � - Ticket no. • • . gr-Crete>; _ SCANNED ° �:. FO 91 PIERCE Rt1C 41gp. SELVIL T? ROAD By sz "�zEr�cE. F. ?��cz ��: Lucie County 00 D 281-343 ry d )eliveate Plant Truck' t Driver _ Truck size Type lob `iiJl •`l Aitr; _•` ustoinerno. '� : Customer name :.n s ;'4' - Zone - • Tax CD m _� )=-,,I r.i_: I )�•:;_..: f!it-s'zc-t"41: ;.tl it- tiW c. f}r' i rarmacproject no r Customer P.O. no. = , 'Order no. r Tem¢ code 1 Chargederwred a-C.O.D. Time due 'GGfit 11 - I 71 - -7 �2{ha_r9eFO.B�'6CO.D=FO.B.- -� ^grfr-• ressCo Delivery name and adunty �Inrtructi5'}i s": FiAVY SEAL 'NUEEM-1 f Load '• / Cumulative-- Ordered— Code - - Description--- - -i - - - Ic J 4 i-3, 5z 73. S :' M 50 CAG29I13 M00 48 ?I3= ?'` CY - i E3 SP20 STATE E}IVIIAJ EFITAi: SCiP.0 -IZL" T •^ 1„ G 5821 FUEL SURCHLRG% Li �:'� •�,. FEU _,. ,. Load ,/c Arriv 'ob site Start discharge Finish discharge Leave jobsite Arrive planf J' Sales tax >,` c (� _ . - � _ • . TOTAL - I additional water'added to this concrete will reduce its strength. Any water added is at customer's risk. > ' r M1 Gallons of water added: \ .Gallons of water added: _ Gallons of water added: -.I Amt of CY Retained: _ J Customer Approval' i Customer Approval: - C_urtomer Approval; Custo6er Approval: l Tested Tested properly No. r. Authoze and receiye�, _ p r/^h�� Yes Q No _ ❑ Yes ONO r Lot:Lf�fM1-( Safety is a coristant state of mind, with q Ai— ' I every employee feeling responsible Block?J3(�_ - I and empowered to act.to cause him Address:.. Correct Not Correct and "others to work safely, on the beliefI ' that all accidents are preventable and ' S /4Ri�S ��x I_ )(n, J I that zero incidents is the only goal. -------------------------------- OMER COPY .. - Tarmac"Thank you - We appreciate your business' A Titan America Business Ticket no. -gwA,iTU crete C FT PIERCE Rr:c 4199, SEL>VIT" ROAD 286358 F.Tpp r��fPIERCE, FL :34982 ' )eliverydate Plant _^ Truck 6't Drdei 281-3434 Truck size J ., Type job :ustomer rid I Customer"Yl me > <n I� F n one Tax CD \ 'armac project no. �`— I Customer P.O. no:'— Order no.,`--_ (Terms code l-Chargedeiivemd 3-C.O.D. Time due _t r ,bCharge F.O.B. A-C.O.D-F.O.B. )elivery name and address I Lot I Block '.. County -ter,^ram "tdi1RMj NiA nstructions .I Slump A QuanCrty.� { u/M', I Unit price'-! ( JAmount. Load Cumulativey Ordered Code Description l L: 6. g.rr, G. elo 6, ark CA `RM303t?10iv;,#5i 1. 2D 98,110. _STATE_ ENVIRONMENTAL St s\ 98"'1 FUEL SURCHARGE i Load Arrive job site Start discharge Finish discharge Leave job site Arrive plant RiL (� kdditional water added to this concrete will reduce its strength.`Any water,.added is.at customers risk. . .s ems. s Gallons of water added::2 Gallons of water added:__r. Gallons'of.water added: _ Am t 4. CY Betam Customer Approval: CustomerApproval.9 ' Customer Approval I stome Approval: Tested Tested properly No. ��-`` (� it thorized a i1 receiv by Yes 0 No � ❑ Yes ❑ No I 6.A .J` (C) 3 3 8 f Safety is a constant state of mind, with every employee feeling responsible' and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. ..�,' . • �-•'ten 1`' �• Tarmac "Thank you We �ppreciat�your�Pusiness'^_ : �: -•, A Ti:tti:ne Ardefice Busr_pe ss s Ticket no. i- gcretg . FORT PIERCE ::I1C . y, tF 4'3��',SGLVITZ_.F.OAD 285855 ` FT PIERCE, F7L, 349k Relive datePiano-,I-cg�Q) f3 t —. Lt'3d t�•� Delivery Truck,�Dnver ','r _ .. Truck size TYPe Job r. 6hr1+y h'>li d r h 1 t :lft A?A1 T Customernd"r - Zone - Tax CD r 16utomerrname FS 1f A'; "'Vitk2T 4T'[,i. IiS`F_'f ifs _qt; nr' 'E Tarmac project�no: „ „� _ _ Customer P.O .• -... -, Order n.... 2° Terms code t-Charge detvemd 3-C.OD. Time due. • , 'I L 9SiG7W�""'"' .,.. Af'•m'I.29 '2-Charge E0.6. 4{.O.D -F.O.B. Lfxtit i\ _ ipebvery name andaddress - r Bjock;,. �eouNnty f`sU^.rELH-2:Dd, —.. :d. R1,iti, FT P { Instructions -..'• , .r •� • slump d l lPe u U. L7 Q QL; nAc . +' •' product U/M1A Unit price Amount Loaq a Cumulative Ordered _ Code ,. Description, •'. ' 33©^i� 8 P14 � _i wy.-- C4 - 7:7,6 (DO 7, . Crib C AGBBid c y _>. c1c, .. - y 9820 STATE EMVIR'Jid VITAL` URC4LD3 "1 Gh• d 9821 FUEL Si7R^IiAl2G LED y'� • �. fy.. R 1 I y' , ' �' '• Jf "., �,�.�„ ,elm, _' a, �r ":sw......�_. __ _ r _ _ _ i7 -: 4i F n4��� •q,p� .. a .. Load Arrive job site. Start discharge - Finish discharge -- Leave job site Arii' plant i - '- _ - - Subtotal - •' •3 .. -��• -�. �.! . '� • Sales tax �f `� r ^: ' •U' - TOTAL .. Ia` f i additiori'al water added to this concrete will reduce its strength. Any wafei added is at customer's risk. ) =f 'Gallons of water added:_ Gallons of water added: _ Gallons'of water added: .I Amt of CY Retainea: Customer Approval: Customer Approval: Customer Approvals; Customer Approval: _ r Tested Tested properly Nq. • Authorized ana'receive_d by - �" `y Q �234 "Yes -•❑No ❑❑•632 Yes No '.� I - •�.lx ,�'Il t, l./� Lot: '.'Safety is a constant�state' of mind, with every employee feeling responsible and empowered to act:to cause him and others to work "safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Block: �`-- Address: Correct -Not Correct CUSTOMER COPY �t- fartua c:. Thank you - We appreciate your business" an A Tita:�r�America Business Y' , cre ie FORT FIERCE RMC 41.9 SELVITZ ROAD j" F4* PIERCE, F . 34962 Deliverydate fez Plant Truck Drive ?dy Truck 1.. •% .I G']R I.d�S`'f."'i .17� I"P'C AC'^ k� FRilSF�'T. r _ �_ IJc no. XX„/ ( Customer name• ��eU1LDiNC CO Q G. u i "'erdeE�` Ticket no. -, 28SR54 size Tax CD T� rdrrlp 0-1 no. ICustomer P.O. no. Order no, $ Terms code I -Clare d3C.O.D. Time aue l �KF.i 1 I2{Norelivered ge F.O.e. 4C.0.0 I.O.B. y ... m ,i_'c ��mG 111 ���y •y a t Deliv;ry name and addr �;,; `�I Lot (Block ICounTy t_ r �EU1t' 44n0 D 11 �_,IA, FT 4 Insuctlon5 � I t5C ,"IA; : �e,l,i��I��Ei�[1 . ' ��•s... , "'�: � '�. 0ra nft -- - .Product � P unit ' L11M ricef ^ Amount I : tom Cumulative Ordered ,S•` Code _ _ Description • a - I.. 4 7 6, 095 i? GAG38P3 �3fdt3® 8 PH C; 19820 STATE EHVIRONMENTAj SURC LD 3 „-0o aee 9321t FUEL SURCHARGE ] u .oad •Artivejob sRe Start discharge Finish discharge c Leave job site Arrive plant ' " subtotal Idditional water added to this concrete will reduce its strength. Any water added is at customer's risk. Capons of water added:_ Gallons of water added:_- Gallons of water added:_ I Amt of CY Retained: ' Customer Approval: Customer Approval: Customer AppmvaL't CustomernApproval: �, ' rested "• Tested properly No. _ - Alith I 'zed and received b f320233 Xvvuf� y ,. I)-Yes'rQ`No Yes No ' i.,5afety is a constant state of mind, with ,.e er employee feeling responsible I and empowered to act to cause him :,*and others to work safely, on the belief that a'll-accidents are preventable and - dents is the only goal. Lot: Block: Address: I _ � v r Correct Not Correct R Tartm,ac ' ' "Thank you - We appreciate your business" A Titan America Business Ticket no. �grcrete FORT PIERCE Rt1C :- "-x:,.t 4' 99 SE? .?TiT2 RDjkD 285852 FT PIERCE, FL 349821 t800Y 281 -'3n3- )elive - ' rY date Pla TNcp Drier Tru size Typejob _ i•'. '•'pr-fi1f^.t%.-...._ -- '1�1�01tT, Ci.i c.• _ • ustomJJe�trrno. Customername _,-.,.- - - Zone Tax CD 7 oi� -. vt 1.14` C'T / 4Pa i .., is I I RT'I 11i r-1 r' _ TF rcarmacprojec, no. Customer P.O�no'.-s'.�,a _ Order no_. Terms code t{barge derwred 3{.o.D. Time due. ,r[,e ,2{hat aF.O.B. 4C.O.D-EO.a,. I 7 9 t.'?:2ifTF Delivery name and address ' Lot I Block I County 7't nERr; i'ILSEiiit -33Cr3 ZI. , I F instructions'. Z, JIAVY .'gEAL IIUS2111.1 ` u _ 55. 00 8 �jO� + CAGB81 n _ t .y. 820 +� (3821 � xtr- )2000 #6 PH s 1 �� STATE ENVIRONISF;iTAL SURC FUEL SURCHARGE ; K P iLU d LD 3> I slump Amount. ----i I .. Load Arrive job site staridischarge Fnish discharge Leavejob site `F •� Lnv�plam TOTAL kdditional water�added to this concrete will reduce its strength. Any water added"is at customer's risk. { Gallons of water added:" / Gallons of water added:_ Gallons of water added: _ I Amt of CY Retained: , Customer Approval: ''1= Customer Approval: Customer ApIfrovel.Y- Customer Approval: ' Tested `/ Tested properly I No' 632023 1I Authorized and received by Sl v-,, iTl u,, f 1 V— f 1 n,., Y .f A ,• ' Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief th"et all accidents are preventable and I., -that zero incidents is the only goal. Lot: _ Block: Address: Correct Not Correct Tarmaa "Thank - We appreciate business"�Y! you your "A Titan America Business i - Ticketno. g Crete FORT . r:ltC +., ....�.> ;=� 4195 "•'.'.V1Tu I?G+tl) F'T r'T-?C2', FL 3 982 r v (aOO) '22 2424 _ Deliverydate plant Truck Onver - _—^' Truck s¢( Type job ' ty .. - _ -AL i.i 207 WALLS no . Customer1 r� Customer ame - Zone Tax CD I Tr TG project no. Custt merp.no. r -� Order no. O i0. Terms code 1{Mrge delivered 3-C.0.0. Time due IFarmac F'�. �.l?l ,bChaMeF.O.B. 4C.0.1)4.O.B. 1.2.:30 dd "` '" ®' Lot Block County Delivery name and a ress I ., d +. trYI L NUE'I;U!i -2100 ![. 1f., F9' mstrucbons' PS IIA.Vjt LTAL IIU$Ii EU,, ° _ ---- - lump � - • - ----- --- - --Il - ' lumn lUnit Drice.—Amount � ir) Description - B81?3 ¢ I �ItPL SL_ s, ... �� v.. Load Arrive joti sRe Stai'f7tlischarge . Finish d(scharge Lave job site Artive plant 0 f?=2tP .� 1=;+ 3 5 /. �. Subtotal I I_ t V r TOTAL i additional water added to this concrete will reduce its strength. Any water added is at customer's risk. 1. Gallons of water added:_ Gallons of water added: _ Gallons of water added: _ Amt of CY Retained: c! , I gustomer Approval: Customer Approval: CustomerApproval� 1'411 Customer Approval: ' Tested _ Tested properly - No. n i'� r� A'uthodzed and received by _ Q�Yes ❑No ❑Yes ❑No I UG28 .IX -- alive. uroereu e• � a � y Safety is a constant state of mind, with every employee feeling responsible and empowered to act'to cause him and others to work safely, on the belief that all accidents are preventable and attltDT ei�! >Ed . S`I i,'.-'.�. z idt' TF:CIIIir.:I� c I, Lot: Block: Address: Correct Not Correll - _ - -- . n Tarmac"Thank you - We. appreciate your business" A Titan America Business Ticket no. gmncrete F'OPT PIERCE'RUG 4IV9 SE:_VITZ ROAD .- 285846 __ ns T, FT P i ERCE, FL 34982 _ Delivery date - Plant ---`` c ��U) -?b Truck'- '+. c 3•�'34 Drier Truck size T e ob i .' i t 1AC.^ tr,,•r-1-t(,? . 7Y ',Ec CT^ t I rAM '1141117 Curtomer no. customerrJn{1a`me Zone Tax CD `r1Tr) .:,�-•'. Aids.'1 T r c cat t;tt; T-fim -4 r'GF`•!. T' Tafmacproject no. Customer P.O. no, Order no. .-s S code iLharge d.06: ed 3-C.O.D. Time due ra I ._ ITem '2_C :)tfF.� r '?rj 4, ,g:F.O.B. 4-C OD J..O.a, Delivery name name and address ': ' .. Lot Block County..®` .. .. ..�. ,... - '��• •: .. 1.!J CtJ 11 .:�,.i O.O li. Asti, FT > .. �• Instructio y ns t( + +'!"� i i i r f 1.L MUC' 111,. a -- � _ � p+� Slum p _ Quantity -' - • Product -" "'°,.%+ate• U/tvt Unrt price Amount -' Load ' Cumulative es Ordee&W -/ Code Description G. 00 ' CAGB8P3 3000 #a PM `-._,_ C•, ';. fu3�- r; et 9820 STATE' ENVIEONIMENTAL SLIFiN a io 9821 I --IJEL BLIRCETAAGE 6r a::.r cr`> °Load Artive job ske Start discharge Fnish discharge Leavejobsite- Arrive.plent ' • ,� s . �� > �' ; � Subtotal Sales tax tr�� addlvonal water added to this concrete will reduce its strength. Any watei,added is at customer's risk. 'Gallons of water added: v Gallons of water added: _ Gallons of water added: — , I of CY Retained: I Customer ApprovalYe Customer Approval: Customer Approvak, CustAmt omer Approval: Tested Tested properly No.Authorized }� �% AAuthorized and received.by I❑ fesZ.Q No ❑ Yes ❑ No 6 d 2 V L 25 A Safety is a constant state of mind with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and Lot: Block: Address: Correct Not Correct Tarmac "Thank you - We appreciate your business". A Titan America Business - -; Ticket no. t grcrete ]elnzry date plant rude (t,v,tri Driver v474' Truck size Typejob %' ...I G .;a� a~ i t+'Ff-Ai'll —t`l: +-.am' `. rusiomer no. Customer name , Zone Taz 6D (armac project W. Order no. code tCM ge delivered 3L.OD. Time due 1 icustahft0fM. -- ti! •. .. sue' `^�� (Terms t '22harge F.O.S. )eliveryname and address __.--� • = i f"� 1 Lot Block County- _,� ' �'.�t.. f!1�3i~1,�15 --.; , tit IT. _ tcTo ib slump !,.viYL4l lu-.{t ,A _ .- Joao. Lumuiatwe r. - t �_ f r i• , _ -- I �.�_ 4 , ' I,Produot, At „� ,��.:; , , .UMI, bnR7, rice I iAmotint 1, Ordered Code a `4 Vescriptiod r4ti• ,�. - f- i3. 07 CAGB6P3 9300- u`E ?II �� fir,,• C ? ; )-A 9820 STHsE EH7:R0H1t"i/MTAL SURC3LD 9321 F,-EL. SURCHANE ,t r, of Load Arrive joisite $tart discharge Finish. discharge Leave jop site Arrive plant '1 _ - �`I • —*�� Sales tax - nr' additional water added to this concrete will reduce its strength. Any water added is at customer's risk. Gallons of water added:_ Gallons of water added: _ Gallons of water added: _ I Amt of CY Retained: _. Customer Approval: Customer Approval: Customer Approval( Customer Approval: ---,- p Tested .' Tested properly No. r1 .It' Authorizeanreceived d d by 22 ❑ Yes El No- El Ye! ❑ No I Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief I that all accidents are preventable and L. zero incidents is the only goal. Lot: Block: Address: Correct z. ' Not Correct arenaa "Thank you - We appreciate your business" y - A Titan America Business Ticket no. �} r , grMcre a-- FORT PTERCE 241C . 4.1S,9' SCLVTTZ GOri[3 r i FTE•RCE. ,FL, Deliverydate P>Y` r B@G)) � Z 1 -043 , _ _ Plant- - Truck Dnver 1, Truck size Typejob Jl Q / t ^ / 1 :'I 1 / _ s_ do '-�' ._� ••• 1>•'�'+--'+-.^3�.]_ 1. 1 fTr+` 1.2 A 1 I C Customer no. - Customer name y„ Zone "ITax CD I k�.•-,^,'� ��',•.�, imp �r:�.a; 'trrr-rita a�:"�,��" .�rr_ ' Tarmac project no. Customer PiO. no. y Ordernq"y` '• Tenns code t,Chrge dem:etl 3-C.OD. Time due`�,- l.-r_r.•,5 A's. I OT': a`. 'J' ^fd _'•I 1 ,2-CCharge F.D.B. a{9.D.F.0.6 /1 S'..0 f_. _ _ - Couoty _ �Y• Delivery name and address ; �, ,F Lot 61o<k 711".1 Y SEAL 'MUSEUM �3330 M. 'AI.A,= Fi �' „.x instruct rr`r,�i.,� ♦, a i C `--'�-v'. slump `tL ItLI.C 6' .` `—` �� � `uft* Umt nce J Amount, Quantity lam'" II.Produci - _ �,. L. p l� Load. Cumulative Ordew /f4) code ' Description, } p n G'v: fo03 CASH �3 l®G3�;PB. PIi �a, �ri y r. fir, �ctic^^ STATE 214N�.R. NTf t.w ' n 1 vI FL EL SIJRCr C y 77 1 , Af lam. '� 1 • `� - 3. loads- Arrive job site ' Start discharge. Fi lsh. ischarge LealGey uvob site s ''� i gant - Wr.. t�f fv r f,l�• . �, Subtotal o Sales tax ;i_- /• h Q yr TOTAL I additional water added to this concrete will reduce its strength. An , water added is at customer's risk. Gallons of water added:_ Gallons of water added: _. Gallons of watersadded: ® I AMt of CY Retained: { - r.........e. enn.nv�l• n,r..,..,e. eee...+ul. _C'.:i�...e. eee.n.,�l.. Y„n....... eee.....�1• '�1 Tested properly I.No. No ❑ Yes ❑ No .: 6320221 Safety is a constant state of mind, with - every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and i that zero incidents is the only goal. Lot: Block: Address: • Correct 9iied by 4. 10 Y Not Correct Farmac Titan America Business I wAss crete "Thank you - We appreciate your business" Ticket no. l��G. OZZI� tT PIERCE, FL 3�e JOe!58', B i8.0. h) 7�4-343�4 Truck size Type job ivery date Plant Truck braver n rrn: +� _"+c ,• I�rvr�ts Zf IiCt Ac tamer no. Customer name Zone Tax CD maC project no. CUSLOmef P.O. no. Ordef n0 Te(ms Cede t{harge delivered 3C.O.D. Time due I G �(-. I t ,2{harge F.O.B. ,.4{.O.D -F.O.B. a livery name and address Lot Block County L�l^n.L *T Slump tructions yFu s.M1L=r, U s ' �.`...z ' .� _;.�a „�:: _:'.x�.. �`.L:J �Unitp ew'"�Ambun'•r-T^---^-;' �a gUlLerM1,c � O � q C U Z McMeE�` ^ Dad dditional'A iallons of water added:_ Gallons of water added: 'ested Tested properly J Yes ❑ No ❑ Yes ❑ No FORT PIERCE 411C to c- SELV?TP `'OJAD STATE ENVIFGIV.-NT,.'i FUEL31JRCHARC,�- ;h discharge Leave job site Arrive plant Subtf Sales TOT/ its strength. Any water added is at customer's risk. Gallons of water added:'_ I Amt of CY Retained: No. 6320142 Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Address: Authorized and received by —IX Sic - iota-- oaa(P )DNA)AA Correct Not Correct JUNO CUSTOMER COPY F. Tarrna c "Thank you We appreciate. your business" A Titan America�B -,i.nes's - Q - Ticket no. g_ cre \s FORT PIERCE RMC 5. 4:99 'SEL`JITZ R( 2v r•2 FT PIERCE, FL e82 relive date C8O(G? �81-3434 ry Plant Trud( Driver. Truck size Type job rn•r re^., 71, r•->o ']6q p!'IRRASftT.t T13LjMV Cn f.'1 tJ-AI ice. ustomer no. I Customer name - Zone Tax CD r`F xlj�T-rCK'a(' It LlCt:'.1IM SG^—I?i° Tr armac project no. I Customerzi P.O. no. Order no.. .I Terms code t{harge delivered 3_C.o.D. Time due 6t'f + 4 - C �f�U7 2-Charge F.O.B. 4{.O.D -F.O.B. i 7. L`•�(% 6. lelivery name and address I Lot I Block County j-ia.tlY REAL ?iUBE:JM 3303 14. A1:'tt Fi nstructions II II -slump US NAVY BEAL MUSEUM �. 00 �itailfJt". �.. 70TW ter ' y.�'"t�,t?ril!„.mhv'st�P._ .s.urr.,ti5 a.2'as� :?.:tt. . i'...�`"z'... .& ..�zs,.nx. i1!_M Ut11LpLfCe`„ �AI'no`itlta -v-.9 ,.z.. 30(;0 -�k8 PM STA-fo :ENVIRONMENTAL FUEL',SURCHARSE Load Arrive job site start discharge Finishdisdharge Leavejob site Arrive plant i �� — Subtotal _ TOTAL kdditional�er added to this,ebnc?ete will reduce its strength. Any water added/is at custoer''s risk. Gallons of water added:_ Gallons of water added: .__ Gallons of water added: _ �Amt of CY jtetalnedi m Customer Apprgval: Customer'Approval: Customer Approval: I . Customer Appio alb Tested 12 Tested propel No. t('�� `1 Authorized and received by j ] Yes &No ❑ Yes ❑ No - I " J 2 0 14'O���Y�.' I') Safety is a constant state of mind, with every employee'feeling responsible and empowered to act to cause him nd.others to work safely, on Ithe belief 4>all accidents are preventable and zero incidents is the only goal. Lot: Block' Address: Correct Not Correct ni IRTnuFR r:.npv 03''.d".3: '+ . rarmac :'Thlk you -1111e ap' relatle`yd`ur business" a A,.T!tan America Business - `` Ticket no. grcrete FORT PIERCE :RMC FT PI.BRCE, Fi :4982- =live date r80011 MI-3404 k • ry e'ob !livery Plant Truck - }n istomer no. I Customer name rmac project no. I Customer P.O. no. alivery name and address l,v ;r.f _2AL. 3iU 1VE i.:M - _)',.00 F. A1A, FT ,ls NAVY SEAL IMUSEUM Drier _ - Trut size T p 1 M-i t'T E r, L; Zone Tax CD E. e.d Order nr-,' ITe^ms code t-Charge delivered 3-C.O.D.-imedue Cod; F.O.B. 4C.O.D -F.O.B. . I Lot IBlock ICounty Slump n STATE ERVIRGIVIENTAL FUEL SURCHARGE .oad Arrive job site Start discharge Finish discharge Leave job site Arrive plant y4 r,..v,e_ Subtotal '" / sales tax • .E ; `� - I:?�-', TOTAL additional water added to this concrete will reduce its strength. Any water added is at customer's risk. 3allons of watefrddded: Gallons of water added: _ Gallons of water added: _ I Amt of CY Retained: rested Tested properly I No. 99�� 3 9 Autnonzegana recervea_oy ❑ ❑ J,Yps ❑ No Yes No 632 W L v7 XG-t Lot: Safety is a constant state of mind, with every employee feeling responsible Block: and empowered to act to cause him Address: correct Not correct and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. CI IRTOMFR COPY T - .. IIIIIr''r/�//\I1 �✓ firma e "Th ank you - We appreciate your business" A�:T�ita:h America Business 'v3% Ticket no. �ntV,2�5-v0r■ %►mo FORT PIERCE _RMC 4ie3 SELVITZ ROAD ?&5759 FT PIE,P.CE, FL 34982 8t-le)0) ?ai:3434 lelivery date Plant Truck IIDriver - - Truck size a ob 'In I .I " i t: i In ryY1A I A,r7fER TNll lr I,.4q t i (r: TYWATJ P 1 C :ustomer no. I Customer nameFT)^,, Zone Tax CD 'r.;`••. 73 LV IAT: " 11P.Pi 1!9, A egnr. i-• armac project no. I Customer P.O. no. Order no- - Terms Code t-charge d111.7. ad 3 C.O.D Time due R'-'illy. 7e:.�,.I 9 ,2Lhar9e E0.B. 4-C.O.D=E0.8.' ^ 5'/il!1 lelivery name and address ,�� Lot I'Blo<k County idLi^;'i;Mm !`ti. „t -i�1�� nstructions Slum - __- N A V SEAL 1.1U T,EUK .p J:Pfodtict,_ oad Cumulative. Ordered Code Description" - - LZ0 =.. 00 'sra., Ora Cfia8?_P3'3000 9S PM - CY i9 ttra._.z 9820 STATE ENVIRONMENTAL SURC1LD 9d2' FUEL SURCHARGE LD -oad�'-� /�- "Arriveg"jo�l'site Start discharge Finish discharge �` -- Leave job site Arrive planT 4. j / � s � Salestax #itionalwater added to this concrete will'reduce its str(ingth..Any water added is -at customer's risk. G)Ilons of water added: %%' Gallons of water added: _ Gallons of water added: I Amt of CY Retained: . Customer Approval: % - Customer Approval - Customer Appioval: Customer Approval: rested './ Tested properly No.""`�' Authodzed"and re�elved by — 632 jam% I ] Yes ❑ No ❑Yes ❑ No l'-'p �X Lot: Safety is a constant state of mind, with z. every employee feeling responsible iBlock> and empowered to act to cause him ~ and others to work safely, on the.belief Address: Correct that all accidents are preventable an that zero incidents is the only goal, i. Not Correct. r.H.gTnlu11=P rnpv V Tarmac "Thank you - We appreciate'.your business" A Titan America Business 0 90 cretd Delivery date Plant Ticket no. FORT PILE?CF E? Tr =199 SELVITZ ROAD %e= '1.3z FT PIERCE, FL 349.82 800, 2Ek�343 Truck- IDnver' Truck size Typejob 4 Customer nod Customer name - Zone. Tax CD I ^r71 iJ ;ITI'�'�^s:-A? T".irc�,tFa nc.Cfe� I - Tarmac projeorno. Customer RO. no. Order no, cod'3-C.O.D. TmLd e Ims 2t-Charggedel.Ne.d harOBre4C.o.D-F.O.B. Deliveryname and address Lot Block CounTy ii '••/'i �_'N' ?.L i':!f�E•=L:e1 - j_L'G_' .,. F.1:1. �- ��� Instructions" r,_ J.,,,Ec, <:r LK� NabY AL tii.i;;.U..r. 'T Quantity° _ �. ._cam'' �.3 - r? .:,. „, •Produf��., �� ...n..., ....', c _.,..; .;a R. N �, U/"m Unif prige,a Load Cumulative Ordered Code Description i>)0 70 30 MkGBar,3 33000 #8 Phi 0Y i} 9n,20 ST_A.TE ENVIRG�N I ENTAL SiSRC1E.L' - 'u 33e'1 FUEL SURCHARGE I 1 Load Arrive job site Start discharge Finish discharge Leave Job site Arrive plant � G r Subtotal _ :.��;-�._�. . �f--• Lr' Sales tax \dditio water added to this concrete will reduce its strength. Any water added is at customer's risk. Gallons of water added:_ Gallons of water added: _ Gallons of water added: _ Amt of CY Retained: Customer Approval: Customer Approval: Customer Approval: Customer Approval: Tested Tested properly No. I 6 32.�3� Authorized and received by11�, ' Ix Yes Q?N0 ❑Yes ❑No f•; .„.- ; Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: Correct Not Correct . .rtl IRTr1AAFR nr)DV�. • .�, "Thank you your busige �idt '•.i'i S � � IION.A4. �, f�Z �.,f {.`�A� E Al W/ �� �:�� f DRY' PIERCE IPt i� a {'e x lr:F - elant' Lack' gy otrrer$no,., . •i Customer name . y . y Zo z i •. f-.. v i Y lacprojectn Customer P.O. no } Termsmde khugedelrvemd f -CharyeFO B �-0-C C.O. D F(i`Q'�- address. eW.,y } �rS. Lot 4 V RAL MUSEUM - �0 ?d. AIA.' FT • luctions `D'S AVY S6.AL.. MUSEUM l+r slump s iv� v 1�.y-' ..- r ' -. j - Cumulative :.• Ordered 4 , Code '" Description :: ,t ia� } - +' ' "• 'YS F� TATE E1i14 NMr 2TA1 SUM i LU yIEL 5URCHAR(* . t LD is of kp � - m i - ' � � •zA�. 4 d 'G .. Arrivefob srte ,Start discharge Finish discharge leave fob site , l )YAf "Y,IS Jr A. t Arrrvepl, :i e'�•��"�S' +� YL F r-1 r a4+T1 S_aX•.. jf �rtton�ahn/ra`ter d to this concrete Vv reduce i strength Any water added Is of"custoSne e's, s12 t; KY ons`of 4A add Gallons water >4 Gallo ¢lt water added '' I . Amtof�Y Retained:- fi pmeaApproval, 10 Customer Approval::-. �'- ...Gusto }Apprbvalstomer Appr- c _A �p1 •%steel properly A rid r 3u .••. " •:y� ,• t�rj�y INo (:�• No 1T ' � `7y� V � � � _:i X pafety s=a stant sta ?, b . ind T,h fiery '" s10 employe feelLng responsible . 2d empowered t' to cause him geld Corc at# othe o e(y,,on the belief z �. •- _ eatable andtL_` Illy goal To, j7. 1 is I h a n r.,yo u Weappreciate.y ..,siness" < Ticket no. 'g FOP C 0, 26554a 4199 FT PIMI GE-, FL:-I4 na I Plant I Truck (Driver , z I Truck size I T'yPe!%b I r. 2 -3 I Customer name Zone Tarmac project no.'-- P.O. no. Order no. Terms code I-Ch,,ge delivered 3 D T, d Us _C�o . 1 Tarmac 0 11. 3. , " I 2-Chuge F.C.B. 4.0 0 D _F O.B. C9-1301m; 9064 Delivery name and a+Oclrez lot Block CounTy HAVY :SEAL 3300 11 AIA FT. PIE Instructions Slump I J 00 3.80, 00 CAb-B511-3 MOO k57 r'Y 9820' STATE ENVIRONMENTAL S.URC iLD 9221 FUEL SURCBAPGE Load Arrive job site Start discharge Finish discharge Leave job site Arrive plant _,Subtotal -11 Sales tax R -1 ;-' 0 2 .4( TOTAL kdditional water added to this concrete Will red6itb its gtrehgth.,Anjwater added is at customer's risk. 41 Gallons of water added:—, Gallons of water added: — Gallons of water added: Amt of CY Retained: — Customer Approval:_ CustomerApprovial:— Customer Approval: Customer Approval: Tested Tested properly No. Authorized and Wcei . ved by. D Yes ONO LJ Yes, U.No 6819,926 Ix. Safety is a constant state,,of;mind, with every employee feeling responsible and empower6d to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. I rN lczTr)KAPP rY%DV J"D ate ek , your businen" �te V FORT' PIERtf-W10 -4199 SELV1T;-V'-!-iZ6'D A FT PIERCE, �!FL !3*4982 (800),.2 Plant ]Truck Driver /11 '628 J Sr1PjES D. K. Customer name AHREMS COMPAMIES �qmT, projea no. UM; P.O. no. d Tera 1IZI Delivery Rome and address NAVY SEAL NUSEUM 33300 M AIA FT PIE M..rueions Ticket no. 28554S I 11''Zo I SLAB Oh Zone I Tax CD let -Charge deirvered 3-C.O.D. Time due 2-Charge FOX. 4.C.O.D _F 0.8. 04:40 — Lot Block CounTy Slump 11 5 . 09. P. - -22-- oib I a�IGY"I . . 9820 STATE ENVIRONNERTAL SORMLD3 065 992k FUEL SURCHARGE LD PO .oad Arrivejobsite Leave job site Arriveplant TOTAL kcklit!64al-wateradded to this concrete will reduce its strength. Any water added is at customer's risk. .iallons of water added: Gallons of water added: Gallons of water added: Amt of CY Retained: Customer Approval: —�_. customer Approval: Customer Approval: I custo'®r'Approval: 'ested Tested properly I No LAuthqq'e_O V/d received by — — — — — — — Yes (J Yes L) No 6319927 X 7 Safety is a. constant state of mind, with .every .employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: I Correct Not Correct ' ^. I ^ro% a A —: .. . — . U . v d T_ara:: America -Business q- m AO 'yh�a k you We appreciate your business" Ticket no. gICcrete FORT PIERCE Rr. 4199 SELVIT ROkF, vu5�;50 FT P?FRCE, .P.l, 0412 (800 )' Deliver y;date plant Truck Driver I Truck size Type job �Zr'il/il028 164 I+LPf. i?OUCsLAS i1. OtD SLAP ON Customer no. ICustomername Zone - Tax CD 272445 l t1IiRE$IS Ci3@ PAYIIES T Tarmac project no. Customer P.O. no. Order no (Terms code Time due 1-Charge delivered 3{.O.D. `,.310 9064 1 / 2 Cha ge F.O.B. 4{.O.D-F.O.B. 04 510 Delivery name and address' Lot Block County e:rV'r 5EAL .l`CUCE>.lYi 3300 fd ii:LA FT, PZE, IOStrUCtIOnS Slump ugantltyr :. "4. '`: u i} :.;w � itQiodticE+ eY. Load Cumulative, Ordered Code Descn Ftlon ii, 00 32.00 180. OG, CA5&SR3 -3000 .�r'5^r CI 43'?0 STATE ENVIRONMENTAL SURC ILD' 1.00 821 FUEL'SURCHARGE, L r� r ` -oad Artivejob site Start discharge FinislPdischarge Leave job site Arrive plant Subtotal • Sales tax ' TOTAL Aditional water added .to this concrete will reduce its strength. Any wateradded is at customer's risk. gallons of water added:_ Gallons of water added:_ Gallons of water added:'_ I Amt of CY Retained: :ustomer Approval: Customer Approval: Customer Approval: Customer Approval: 'ested Tested properly No. ,(1 n 8 y Authorized and received by ❑ e Yes ❑ No iJ Yes No 6 3.19 w1 G I .( Safety is a constant -state of mind,: with_ every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: Correct Not Correct Tarmac A Titan America Business U "Thank you U We appreciate your Ticket no. gr /crate FORT PIERCE RMC 4199 SELVITZ ROAD 2c_:5551 FT PIERCE, FL 34982 '(200) 281-3434 Delivery date Plant Truck Driver Truck size Type job 33i 11/11 628 1479 I RGDRIGUE�, DRICK 11. eSLAB ON Customer no. Customer name Zone Tax CD 272445 'AHRENS COMPANIES TS Tarmac project no. Customer P.O. no. .Order no.. Terms code 1-Charge delivered 3-C.O.D. Time due :%iiV]1i1 I,9310 4*64 I t 42- Charge F.O.B. 4-COD-EO.B. 5t fit._ o r%r Delivery name and address. Lot Block CounTy NAVY SEAL YIISELIPS 3300 l:i r'tiA FT,PIE inelrurl,nnc �a gU1LD,�,c MEMBER. 03 13000 457 STATE ENVIRONMENTAL FUEL, SURCHARGE n le'ti�s ? 1 l?; um Load 'Arrive job site Start discharge Finish discharge: Leave job site Arrive plant Subtotal �cl y % TOTAL Idditional water added to this concrete will reduce its strength. Any water added is at customer's risk. 3allons of water added: �— Gallons of water added: _ Gallons of water added; _ Amt of CY Retained: _ustomer Approval: ..,Customer Approval: Customer Approval:. I Omer Approval: ested Tested properly I I No, I-`"" (� 9 Aut.�{ori,ed and r7eivd by Yes ❑ No .. Yes ❑ No 6.3 1 q g 9 X-�1i .. Lot: Safety is a constant state of mind, with every employee feeling responsible Block: and empowered to act to cause him Address: Correct Not Correct and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. i Tarmac. "Thank you -11Ve appreciate your business" A-Tit.in-Am a ei ca Bus! nessv; 41 1 •- `vr . ' Ticket no. ,•Crete FORT PIERCE RMC. 4199 SCLVITZ ROAD 285552 FT PIERCE„ FL 34992 . (800)' 281-3434 Deliverydate 4 . Plant Truck Driver Truck size Type job 03/11 i i It o28 1386 I CRAVER. DAYID li. Uu STAG Oil Customer no. Customer name Zone Tax CD 272445 I AiiREtJS C01'1PANIES T, rafmac project no. LCustomer.P.O, no. Orderno. (Tenn' code t{harge delivered a-C.O.D. Time;� due1 57rJ/ 7 5 1 93'1tc'i. 9Q1�4. 1 I'2{harge F.O.B. 4D C.D.-F.O.B. Qlt Deliverynam "a address Lot Block CounTy NAVY !L MUS:EU14 3,3OLN N AIA FT, PIE Instructions �-'� "� Slump Quantity w,. N ���,,.o'� _,< 55�00 18ll)00 s' 9820 9 a �� -3000 , *37 STATE ENVIRONMENTAL FUEL SURCHARGE Load Arrive job site Start discharge Finish discharge .Leave job site Arrive plant subtotal Sales tax - TOTAL \dditional water added'to this concrete will reduce its strength. Any water added is at customer's risk. Gallons of water added:_ Gallons of water added:_ Gallons of water added: _ Amt of CY Retained: Customer Approval: Customer Approval: - Customer Approval: I Customer Aooroval: r , Tested Tested properly No. rp+� Authorized and received by �-• Yes ❑ No ❑ 3 Yes ❑ No `" b 3 o �( i r F �;� Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: 77° , XV 3'; , Address: Correct Not Correct r`I IQTnKAr_o r`n DV re U ! Tarmac "Thank you We appreciate your business" A Titan America Business - Ticket no. - Crete PORT PIER CE° RI.4C 4199 SELVI: 'Z ROAD FT PIERC � — •tL 34982 Delivery date .f ar�Gl') 251=-'3 431� . Plant Truck Driver � 'T'��: Truck size w Type job r9?/11 11 6�3 1 I ROBERSbk. TOMMY i_I. Et Sf dY Customer no; b Us Customer name Zone ,�. <; - ." L, Tax CD 40 Tarmac project no. Customer P.O. no. I2 1 Ord�r oo. �Temis Code t-Charge delivered 3-C.O.D. Time due F,EJ11 331P 9064 1 'z-Charge F.O.B. bCOD-F.O.B. 05 20 Delivery name and address NAVY SEAL MUSEUM 2300 `4 � LA F T . PTE Lot Block county Instructions I Slump cad 1$. 011:1 66. 0iG1 1&Pit_ rC'j21 I. •Z127, •r ` 821 M 4300Gt #57 STATE;, E W V _TRO NMENTAL FUEL SURGHARGE q Start discharge Finish discharge Leave job site Arrive plant • �'. � f � subtotal • 1 C.J Sales tax TOTAL ciditional water added io this concrete will reduce its strength. Any water added is at customer's risk. iallons of water added: �? GG�allons of water added: _ Gallons of water'added: _ I Amt of CY Retained: ostomer Approval: w.ustomer.Approval: Customer Approvak CustomegApproval: � ested / Tested properly - Yes r Yes "° �� 9 ;� Authorizedtand'r ceivedEy�J,%1 ;r - r Arrive job site Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: Correct Not Correct Tarmac"Thank you;- We appreciate your business" A Titan America Business ., Ticket no. gSr crete Delivery date 2113711J1i Customer no. 272445 tarmac project no. C.60 t 11 Delivery name and address FORT PIERCE T;MC U99 SELV.ITZ ROAD 'E ` � •5 FT PIERCE. ,FL 34982 i80701 281=34 . Driver Truck size Type job 1462 I [MATCHIr. 3k, .JESSIr L11. h2 ^LA_ ON Zone Tax CD COMPANIES TS Order no. - (Terms code t-Charge defvered IC-O.D. Time due 9064 1 I2{har9e FO.S. 4C.O.D-EO:B. WAVY SEAL FIU;L'e1M 3300 k ii1A FT, PI& Instructions - Slump Plant (Truck Gs - t:ustomer name AHREtiS Customer P.O. no. 9310 U/.,. i 1, 00 77. 210 160, 0,7 C'Af,P5113 Y3000 #57 1. +1i 3 SbZf7 STATx :.E13VIl 0?IifEt3'I' >L SU 1. f it 98.21 FUEL SURCPARGE { i. R 11 uk;>1:�_I Load Arrive job site Start discharge Finish discharge ' Leavejob site - Arrive plant Subtotal Sales tax • � _ • � �/ TOTAL Witional water added to this concrete will reduce its strength. -Any water added is at customer's risk. Gallons of water added:_ Gallons of water added: Gallons of water added: _ I Amt of CY Retained: Customer Approval: Customer Approval: - Customer Approvals Customer Approval: (' Tested � TOested•proLJ N I No:. 6319932 I Authorized andreceived YL ved by ( I n `T " Yes o Yes No Safety is a constant state of mind, with -' eve y.employee feeling responsible and empowered to act to cause him . and others to work safely, on the belief that all accidents are preventable and that zero incidents is:the only goal Lot: Block:, - Address: Correll Not Correct y ni I.STnuFR r:r1Pv 0 business'' Tarmac , "Thank Y'u reciate Our bus n A Titan America Business Ticket no. gKOWAS-CrEft 'FORT OiEkc'r, RIIC 41195-SELViTZ-ROAID 235555 FT PIERCE; FL. 34982 Delivery date 8M 28:1-34.34' Plant Truck . I I Drv%rer, 3 N OC size ITypejob G28 1 3.428 JOHJJ Truck r, 11. 00 Customer no. `Custome r name �-,2445 Zone Tax CD AHRENS COMPANIES -Tarmac project no; Customer P.O. no. Order no. Terms code I -Charge deliwred - 3� T5 6 .011 i 9310 .0 D. Time due Delivery name and address . I C 50154 2-Charge F.O.B. 4-C.O.D -F.O.B. M- Lot Block CounTy AVY SEAL IMUSEUM 3200 N AlA FT. PIE Instructions Slump 5-00 0 a 186-.: 'Zo RR .oad Arrive job site 'Start discharge 4— M 3� 13CJGO 457 STATE ENVIROMMEN FUEt. SURCHARGE Finish discharge Le6e job site dditional water added to this concrete will reduce its reduce i . a . llons of water added:— Gallons of water added: ' refigth. Any — Gallons of water added: dstomerApproval:. Customer Approval:. Customer Approval:_ 2sted Tested properly - - No. Yei. 0 ko 3 199' Yes LJ No 33 Safety is a constant ant state of mind, -with every employee.. eel in g responsible. andempoweredto act to cause him andothers to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: I er a C-u lb dx customers n5K. Amt of CY Retained: .Block: Address:. —Correct Not Correct W LJ Tarma "Thank you We"'Ooreciaie your business" A Titan, America Business x. Ticket no. giPf"' �y i cre d FORT PIERCE RMC 41-99- SELVITZ- ROAD 2r:5556 FT PIERCE',.FL 34982 EaOm?' ^87=34^, Dehvery:date '„ ' Plant" . Truck Driver '• J Truck size Type job C'3/1lJii E28 1364 I ACKER., DOUGLAS 71.Gg SLAB ON Customer no. 9 name tMENS Zone Tax CD 272445 ]ENS L COMPANIES I T Tarmac project no. - Curtomer P.O. no. Order no. Terms code 7-Charge delivered 3-C.O.D.Time due !r-r.Gi e111:. I �?3ir17 /3{harge 4-CO.D-F.O.B. E�L>: . .. Delivery name and address Lot Block County 2f,3,VY SEAL MUSEUM 33Z0 N AIA FT. PIE - , -d Instructions - Slump Loaa 'LUmUlative -..Ordered = Code - - - Description 31 20,.u, i32. U180.09-1 CAG$5R3 3000 3#S7 9820'STATE'ENVIRONNENTAL Su! 1.00 tr 9821 FUEL- SURCHARGE \ A,:: jstin Z1 :"'j ty. 42 Load y Arrivejobsite Starttlischarge Finish disd4rge � Ceavejob site Arriveplant �� Sales tax - TOTAL tdditional water added t9, his concrete will reduce its strength. Any water added is at customer's risk. ^oallons of water added: -4_,allons of water added Gallons of water added: I Amtof CY Retained: rt Cuomer Approval: l l .r, 'customer Approval -- Customer Approval Customer Approval: rested ] t f T!,ested properly [No.- -- htmzesd ii and✓'v.edab�j; Yes L Yes ❑ No q a. Lot_: Safety is a constant state of mind, with every employee feeling responsible Block: . and empowered to act to cause him`' AdBress!, -Qoirect Not Correct and others to work safely, on the belief that all accidents are preventable and that zero incidents.is the only goal. r�I [OWNRACn nr%nV C lJ Tarmac "Thank you - WJ. appreciate your business'' A Titan America Business Ticket no. grcrete} FORTPIEi{1K RMC��., _ 4irt9'613LVI-•CZ ROAD 265557 FT 'PFERCl."sgL `34y82 {80@?` 251-3434 Delivery date _ Plant Truck Driver, - - Truck size Typejob. D3/11/11 628 1479 IRQf72@IGUEZ, EDRCX li.G1�u Ac uv Customer no. Customer name - - - Zone Tax.CD 272445 i AHRENS.COMPANIES T5 rarmacproject no. - CustomerP.O. no Order no. Terms code I-CM,ge delivered 3-C.O.D. Time due 66@111 1933-0 9OS4 I 1 /]-Charge F.O.B. 4.C.O.D-FA.B. 5V"Y. Delivery name and address - Lot Block CounTy ff1,VY SEAL 1i1SESJ1't 3300 N t,1ft FT. PIE- nstructions i f .• rht�j � 154. u @0' 9820 'STATE- - ENVIRONMENTAL 9821 FUEL SURCHARGE r L .oad Arrive job site 'Start discharge Finish discharge Leave job site- Arrive plant - Subtotal - :�7 Sales tax IQ TOTAL additional waterI�fed to this concrete will reduce its strength: Any water added is at customer's risk. 3allons of water addedGallons of water added: _ Gallons of water added: - Amt of CY Retained: :ustomer Approval: Customer Approval: — Customer Approval: :I CusIbiper Approval: 'ested Tested properly Nd. ("� °`y Autho 'ze,d }and rece'' d'by ] Yes No Yes ❑ No L �'S. 9 .7. .I �( V \1" ! Lot: Safety is a constants ' tate of mind, with every employee feelig responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Block: Address: Correct Not Correct ni rernw�cn nnnu Tarmac, A Titan America Wusiness� "Thank you - We appreciate your business" c�7 r Ticket no. gis creW PIERCE Ri:iC 41`J TL ROAD 2"3555x > T .PIERGF., FL 34982 1800) 281-3434 Deliverydate Plant Truck - Driver - Truck size Typejob . 0 311; 11. 628 1386 I CRAYER, DA`dID ts. *3ra 8'L4a 01i Customer no. Customer name' Zone Tax CD 272145 I AHRI RI5 COMPANIES T5 Tarmac project no. I Customer. P.O. no. Order no. I Terms code iLharge delivered 3-C.O.D. Time due n6"? 111 431 C 90F a. � ..� _ 1 2-Charge Ep,a. 4C.O.D-F.O.B, Delivery name and address - Lot Block County I'I ii?jY Sx'[iL i'1LS:;Si,'M 3l=(30 AI A1A FT.PIE Instructions I Slump 5. CGr3 . �=eultoryc 0 ¢ c MeraeEa t Fmdu11 Load Cumulative Ordered Code Description _- - .11. ",1)G. 175-00 —1i804 00 CAGSSR3 • 3000 057 Cy 1.'=3 9820 STATE .iNVIRORMEIaTAL SURC iLD 3 1•00 98a1 FUEL SURCHARGE Ln .oad Arrive job site Start discharge Finish discharge Leave job site Arrive plant - - T F �; {© • /,,}( l • t � /� subtotal sales tax CCCfff/// - TOTAL .uuttiunat water added to this concrete will reduce Its strength. Any water added is at customer's risk. iallons of water added:_ Gallons of water added: _ Gallons of water,added: _ I Amtof CY Retained: :ustomer Approval: Customer Approval: Customer ApprbVal: Customer Aonrnval. 1� ` "estetl Tested properly Authorized and received by 'r ^ J. Yes ❑ No ❑ Yes ❑ No. —_- IX _ ' ,1 Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: Correct Not Correct r1l ICTnaACD `nt]v n(� U Tar- mac`- A Titan America Business g . crete "Thank you'- We appreciate your business" otlp . 7. FLRT PInRCE RKC : 413-SEL-VE,TZ -ROAD FT ,PIJZRCF , FL' 34582 (a@0) 281i 3434 ��OUILD,4C � Co U I G N � 7 n MfMeEP Ticket no. 2G5559 Deliverydate plant Truck Dnver " Vuck size Type job v33%i1: 7.1 - 626 13Q8 I Rootmaw, 011 1riY 11,5. 00 SLA3 t�C Customer no. Customer name - '; Zone Tax CD =' 445 AHREttS COMPANIES I f 5 Tarmac project no. Customer P.O. no. Order no. Terms code ,g t-Charge edelivered 3{,O.D. Time due �t2�7. 7_Z 310 4Wbz I 1 '2-Charge F.D.B. 4C.O.D -FO.B. 07:10 Delivery name and address Lof Block CounTy [4AVY Sir",L MUSEUM 3300 j1 A1r; F'T.PSF nstructions .oad /• Arrive job site dditional water added to this iallons of water added: Gallons of .ustomer Approval: 'Customer ested ,` Tested'nronerly Yes Ld No LJ Yes - 9P2© 9621 000 i57 STATE.ERVIROMMENTAL SU FUEL 'SURCHARGE Start discharge Finish discharge Leave job site Arrive plant r mcrete will reduce its strength. Any water addedtis at cus, ateradded: _ Gallons of water added: _ Amt of CV;Retairietl` . iproval: Customer.Appioval: I Customer;4ppr6val• r' I 9 NR• q I Authorized And received by x i Safety is a constant state of mind, with every employee feeling responsible and empowered to act -to cause him and others. to work safely, onr the belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address: Correct U/M Subtotal Sales tax TOTAL. ier�s risk. Not Correct nr inrn• •rr� r....... 1W U ... Tarmac "Thank you - We appreciate your businessll t A Titan America Business Ticket no. gwAicretd FORT PIERCE RMC 4199 SEUITZ ROAD "I SE:! FT FIERCE, Fl. 34982 Delivery date Plant (800) 281- 3424 Truck Driver Truck size Type job G28 i59i I WHALEY. JOHN �. 00 SLAB ON Customer no. Customer name Zone Tax CD ry 2445 I-,tiREN ^COMFARIES `• Tarmac project no. I Customer P.O. no. Order no. Terris code t-Charge delivered 3C.O.D. Tme due ' r0111 E'31�i 9064 I i /]-Charge FO.B. 4C.O.D-F.O.B. v'-.'FL:ra Delivery name and address Lot Block County ElF,ij'' S;=?:L. w<iv�EjJM 3yiGG :i 1<LA FT.FI: I �� Instructions IIL I Slump 5. i.0 ... n d Loadu Load ' ulati Cumulative Ordered Code Description 1.00 195. 00. CAGB5R2 b2@00 #57 CY fJfd 9820 STATE ENVIROHMENTAL SURC iLD 1.00 9821. FUEL SURCHARGE LD r t rr ti w f .oad Arrive job site Start discharge Finish discharge Leave job site Arrive plant' f � � 1 Sales tax --------- --... •`- :ustc s water of water added: _ cuyu.. I111y Gallons of water added: _ WGICIF auueu is at cusiomer-s risk. Arm of CY Retained: - r al:addedGallons :ustomerApproval: Customer Approval: 'ested Customer Approval: I Customer Approval: Tested properly 1 Yes Q No ❑ Yes ❑ No No. 6319940 Authoriz d and received by X t l4 Safety is a constant state of mind, with Lot:. r every employee feeling responsible Block: and empowered to act to cause him Address: and others to work safely, on the belief correct Not Correct that all accidents are preventable and that zero incidents is the only goal. r'I IQTr\RaCl3 nnn.. - U Tarmac A Titan America Business: "Thank you = We appreciate your business" Ticket no. tom" g �ncr�te VERO BEACIf RNe . 2724 Tf1DUSTFf,!kL`rLvD 3-s34�i 4ERO BEACH, f,14 32950 t 80 1 �&iy.�A3 d Delivery date ,,. Plant Truck IDnve[r, Truck size Type job t33f lii it b x s 1591 WHALEY, iOHh II a, ti12 faL—As 0% Customer no F„ - ICustomecname Zone ITax CD _ t L tiHP1 teu CUti�ART Tarmac project no. ICustomerPO no. ., Order no. code t-Charge delivered3C.O.D.- Time due- {'I .E{0, kz ITerms 42-Charge 1 FO.B. 4C O.D -ED:B vJW`�.,�•} - Delivery name and address fi'lly SEA i - - - - Lot Block County F L Pt.iSc.UI1 ��� Pi rtt A PT PIE Instructions FIT. PL;:Fd P4._ART WH): M EMPTY ! + I:: % Slump Ch s, Load Cumulative -•, Ordered Code Descnption. 11. fD 83- 2i 18u G0 t;} UB3 5F 300.?000: #s57 Y 5920 ' STATE ENVIRONMENTAL SUF CHI DG 1.00 98211 FUEL SURCHARGE L's Load Arrive jobsite. .Start discharged Finish discharge Leave job site Arrive'plant. •� subtotal- • '- - Sales tax `' TOTAL Ldditional water added to this concrete will reduce its strength -.Any water added is at customer's risk. 'gallons of water added:_ Gallons of water added: — Gallons of water added: _ I Amt of CY Retained: rmer,Approval: Customer Approval: Authorized andreceivea by Lot: Block: fasted' No Safety is a constantstate of mind, with, every employee feeling responsible and empowered to act to cause him .. and others to work safely, on the belief that all accidents are preventable and that zero incidents isahe only goal. Address:, Correct Not Correct Tar.. M-1-ac. .: - 'u'---_We appreciate your business you '.." A Titan America *Business; � Ticket no. gr Crew, 49R0 BEkcH Rile 2724 INbUSTRINL BLVD 134:34 VERO BEA.61, FL, 32960 Delivery date. Plant . (a00) 281-3434 lTruck [Driver �rruFk�size Type job 634 1 14'/8 (31 ujiEwr 7Fe-. '.4 ii L "I'E R 11.00 SL,AB L)Il Customer no. customer name Zone Tax CD 272445 lh,,1711, COMPANIES _J Tarmac project no. Customer RO�. no.: no. 01,64 Cod; delivered 3-C.O.D. Time due_ 666111 I (Term] "-CCh1:'r' g:d F.0 B. 4<.O.D -F.O.B. I Delivery name -and address 14i,,V,4_SE;AL_pflMSEUt4 3 330 0 11 A'1 A F-T P & E Instructions 'LAWT*. Slump —I . 0300& 98 STA Load. Arrive job site .b T kciditi6nalma'tq'i added to this concrete will/reduce its stren6tj Gallons of water added: 2, Gallons of water added: Gallons of water added: Retained: Customer Approval:— Customer Approval: — Customer Approval. =Apprval.. Tested tested properly No. - Authorized and received Yes No ❑ Yes ❑ No �62-632 5-3, Ix iey Safety,is a -constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the. .belief that all accidents are preventable and that zero incidents is the only goal. Lot: Block: Address; Correct Not Correct PLANT COPY Tarma-C- "Thank you - We appreciate your business" A Titan 'America Business VERO BEACH Rllr- _. 2724 VERO'BEACH, YNUUSTP1AL,1LVD PL 32960 , `(800) 281-3434 Delivery date- plant Truck_ _ Dnvec Truck size Typejob 03/ t 1 ,-'1.1 634'' i457 I kCJ14, D0MAILD. \_ t 1: 00 LAB f.R4 Customer no. Customer name Y� ° _ Zone Tax CD 2'7.2445 I ' A]Hib.EMS COHPANIES T 15 tarmac protect no. Customer P.O.. no. Order.no. (Terms code t{harye delivered 3-C.O.D. 'Tmedue F;60i11 I iQ E +�i 1 .I2-Cha ge F.O.B. 4C.O.D-EO.B. _6 ri Delivery name andaddresi Lot Block CounTy NAVY 'EAL 'HUSEUM •2.300 M AlA 'FT. PIE nstructions FP. PIER .PLA'14T W hEb1 EMPTY;-.:.! i Slump QuanYifjt-yr�.,- p`i'�'�.,s,`s„ ?',�PfOdUC,r Load . Cumulative Ordered F Code Description" - 11'0�l 21. 0 180'30 G�G�IJF30300{6.'457 CY Y,. I J �.Kfn 9820 STA�iA ENVIROHIMM SUFCHLD+�:' ' . 1;0 9621 'FUEL`• SURCHARGE _.1 a. 5 1 1 L— oad Arrive jobsite Start discharge Aditional water added to this concrete will r iallons of water added:_. Gallons of water added: 'ested Tested properly D Yes ❑ No [3 Yes ❑ No Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and that zero incidents is the only goal. Finish discharge - Leave jobsite Arrive plant ' Subtotal .Sales tax TOTAL Ice its strength. Any water added is at customer's risk. lion of water added: Amt of CY Retained: I stomer Approval• ' Customer Approval: '�', 3 i 5.4 3263254 Authorized and received by Lot: Block: Address: Correct Not Correct �nt icr'nne�o nnoni LJ LJ Tarmac-"Thank you - We appreciate your business" A Titan America Business - y g ��, _crete VERO SEACH R11C 2/2'x^ I MUSTRIAL r`.L: iT VFRO BEACH, FL 32960 it3PerL3; 28V3434 ��gU1LOFNC � Co U C N n . %yeFneEa 343454, Delivery date I Plant ITruck lrver ?Truck size Type job 03/111.11 63s 1 la ! OFHOR JE MY 10.00 1 SLzS ON Customer no. Customer name YXI Zone Tax CD =X2 4 I YzkE'�iS GULiPAiS=) S hl. ,_ ..,' Tarmac protect no. - Customer P.O. no. order rGo. - Terms code t-Charge delivered 3-COD. Time due t&.oi�-iI2-Charge F.O.B. 4CO.D-F.O.B. tiIj' Delivery. name and address H>z.rt SEAL ItUSgUPi 3:300 =d A3A. PT. PiE Instructions PT. P.L RR r'AMT WHEW EMPT11 1 f 1::I - Slump 19. I o . 142. 1. ,j ?U . 0, t;f GBM S.3t3 9820 STATE. ENVIRONMENTAL 3 ITT 9621 FUEL SURCHARGE H Load :Arrive job site '- [ta�lscharge <TOTAL \dditional water added to this concrete will reduce its strength. -.Any water added is at customer's risk. Gallons of water added:_ - Gallons of water added: _ Gallons of water added- I Amt of CY Retained: Customer Approval: CustomerApproval:.- Customer Approval: Customer Approval: Tested - Tested properly No. ' 6263255. (++ ('� �y Authorized and aeived by Yes ❑ No ❑ Yes... ❑.No . I Z3 ;� 2 �.. I X Lot: — Safety is,a constant state of mind, with every employee. feeling responsible and empowered to act to cause him and others to work safely, on the belief that all accidents are preventable and. that zero incidents is the only goal. Block: Address: Correct Not Correct �Amount- `I. U � Tarmac n V "Thank you - We appreciate your business" A Titan America Business n ► VERO BEACH RMC . Ticket no. . Vre 272 INT?t#5'i'RTAL kLV ^Y3? JERO BEACH, FL 32960 (800) 2 1-3434 Delivery date plant I Truck Drier - - Truck size Type job I ttA'!"SGtd, Y�I1.! 3r;i 2i.C!P3 SL��,� 01t Customer no. - - Customer name' -- Zone Tax CD 27244 I _HRENS C:OVIPA IES 75 Tarmac project no. Customer P.O. no. Order. no, Terms code, t-Charge delivered 3 C.O.D. Time due �=.d 1 U _)r E..=� I 1 ' 2-Charge FO.a. YC O.D-FO.B i✓'L^- : '4 v Delivery name and address - - - Lot Block_ CounTy i:A'S Y Stse?L "aUSfdUPt 3300 13 rlix FT. YYtr Instructions f111. PIER, PLANT WHER EMPTY P f !. f. (slump 3: 'H.L.. 0(b I CAC B5 9h'GO 982�- UmYp[Pc"e '(Arnbunt '' _ CI'- SU'e CHL Doi Load [rrive)'ob site - Start discharge. - Finish discharge ,Leave jobsite .Arrive plant Subtotal �- Sales tax additional water added oithis co icrete,will reduce its strength. xCpywater added is at customer's risk. Gallons of water added:i Gallons of water added: _ Gallons of water adde r Amt of CY Retained; Customer.Approval: �-_CtJstomer Approval• Customer Approval - .�- Customer Approval: Tested.:' Tested properly - No. 63 Authorizedrand received b �r Yes ❑ No ❑Yes ❑ No �.t Safety is a constant state of mind, with every employee feeling responsible and empowered to act to cause him ., and others to work safely, on the belief that all accidents are preventable and that -zero incidents is the only goal. $'1`:r TS, ENVIROHNERT'AL FUEL-'SUECHARGE Lot: Block: Address::i Correct U/14l Not Correct